22 resultados para Weakness
em Doria (National Library of Finland DSpace Services) - National Library of Finland, Finland
Resumo:
Selostus: Paljasjyväinen kaura uutena viljelykasvina Suomen kasvuoloissa
Resumo:
In Finland, European Union membership and economic globalisation have changed the position of regions from closed territorial systems to nodes of open international networks. The increasing complexity of cities as globalised knowledge centres and functionally specialised and diversified rural areas, and on the other hand growing disparities between prosperous urban cores and lagging peripheral areas are also essential features in contemporary regional development. These trends have produced new needs to promote mutual dialogue between cities and the countryside in western market economies. Urban-rural interaction is an idea which was developed in the late 1990s within regional policy to pull together these new challenges to regional development and handle cities and the countryside as a whole. The aim of my study is to conceptualise the idea of urban-rural interaction, explain the phenomenon theoretically, clarify past and present urban and rural development and analyse regional policies from the interaction angle. The ultimate purpose is to illustrate the existence and nature of particular interaction policy in a globalising society. The general method is discourse analysis, which I use in three cases: Central Finland, South-Ostrobothnia and South-West Finland. Theoretically I have a two-dimensional approach. On the first hand I use World-System theory to explain how the global economy is moulding urban and rural structures at the regional level. On the other hand I use regime theory to explain local political actions and practises between cities and the countryside under the overlapping pressures deriving from reformulated regional structures and policies.
Adaptation to globalisation in Finland has been carried out by strengthening urban centres. The stress in regional policy has been in urban development. The development of the countryside has mostly been implemented by a separate rural policy. At the end of the 1990s and early 2000s Finnish cities have actually shown themselves to be competitive in global markets. The drawbacks of the new growth centre policy have been the sparse network of prosperous cities and their weak spreading effects, which have hindered comprehensive regional development. Tensions between urban and rural areas have also deepened. In this situation the interaction policy is used as a way of balancing development and moderate conflicts within the regions. From this point of view urban-rural interaction can be seen as a way of tackling the challenges of globalisation.
On the other hand the results emphasise that actors involved in regional development still believe, although the hegemonic discourse is on urban policy, that there are opportunities to stimulate progress in the countryside as well. In the situation where regional authorities control development resources, rural development can be successful only if rural actors manage to establish fruitful relationships with their urban partners. This is also the weakness of the programme-based regional policy. If rural municipalities or other actors are for any reason incapable of building development regimes with cities, the offers of interaction policy will be useless.
The problem of the interaction policy is that the focus and methods of it have so far been rather underdeveloped. In order to improve the efficiency of the interaction policy, further research should concentrate on the social processes which define the position of cities and the countryside as partners of interaction, and practises which promote or prohibit the possibilities of developing the interaction policy. The efforts to define different contents of urban-rural interaction or promote interaction projects should not have such an important role in the future as they have had so far. Instead, the focus of interaction policy should be on questions such as how to manage the political tensions between town and country and how to create a positive atmosphere for regional policy where the needs of urban and rural development are promoted equally.
Resumo:
Simo Knuuttila
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Diplomityö muodostuu kahdesta kokonaisuudesta. Työn teoriaosa kertoo mitä ympäristöjohtaminen on, millaisia ovat multi-site -organisaatio ja multi-site -johtamisjärjestelmä sekä mitä vaatimuksia nämä asettavat yritykselle. Työssä esitetään malli, jota käyttämällä kansainvälisten johtamisjärjestelmästandardien mukaan rakennetut laatu-, ympäristö-, terveys- ja turvallisuusjärjestelmät voidaan yhdistää yhdeksi kokonaisuudeksi, multi-site - johtamisjärjestelmäksi. Malli rakentuu kolmesta tasosta, joita ovat paikallinen, maakohtainen ja konsernitaso. Esimerkkien avulla kerrotaan miteneri lähtökohdista voidaan näiden tasojen kautta edetä kohti yhtä johtamiskokonaisuutta. Esille tuodaan myös multi-site -johtamisjärjestelmän käyttöönottoa puoltavat ja vastustavat näkökohdat. Työn konkreettinen osa on johtamisjärjestelmämallin paikallisen tason toteuttaminen. Ympäristöjohtamisjärjestelmän rakentaminen standardin EN ISO 14001:2004 vaatimusten mukaiseksi Kvaerner Power Oy:n Suomen toimipaikoille sekä tämän järjestelmän yhdistäminen sertifioituun EN ISO 9001 -standardin mukaiseen laatujärjestelmään. Työssä kerrotaan miten ympäristöjohtamisjärjestelmä on rakennettu ja miten laatu- ja ympäristöjärjestelmät on liitetty yhdeksi kokonaisuudeksi. Työn tuloksena syntyi malli johtamisjärjestelmien yhdistämisestä sekä sertifioitu ympäristöjohtamisjärjestelmä, jonka yhdistäminen laatujärjestelmään toteutettiin tavoitteiden mukaisesti.
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Työn tavoitteena oli tutkia toiminnanohjausjärjestelmän jälleenmyyjän suunnitteleman ohjelmistokokonaisuuden sopivuutta teknisen tukkukaupan ratkaisuksi. Työssä käydään läpi ohjelmistokokonaisuutta, johon kuuluu toiminnanohjausjärjestelmän lisäksi useita muita ohjelmistoja. Ohjelmat yhdessä muodostavat kokonaisratkaisun erityisesti tukkukaupalle. Työssä käydään läpi myös teknisen tukkukaupan liiketoimintaympäristöä. Samalla pyritään löytämään ohjelmistoratkaisun vahvuudet ja heikkoudet tukkukaupan liiketoiminnalle. Haastattelututkimuksella varmistetaan löydettyjen ominaisuuksien sopiminen tekniselle tukkukaupalle. Tutkimuksessa havaitaan, että tarjottu ratkaisu riittää tekniselle tukkukauppiaalle mainiosti. Haastattelututkimuksen perusteella läheskään kaikkia lisätoiminnallisuuksia ei kuitenkaan tarvita, vaan pelkkä toiminnanohjausjärjestelmä riittää sellaisenaan. Järjestelmän ainoa havaittu heikkous liittyy varastonhallinnan hyllypaikkojen käsittelyyn, mutta haastattelun perusteella tämä ei haittaa teknistä tukkukauppaa harjoittavaa yritystä. Tärkeänä piirteenä toiminnanohjausjärjestelmän lisäksi on internetin käyttö tiedotuskanavana. Tiedon kulku tietojärjestelmien ja web-sivujen välillä koetaan tärkeäksi toiminnallisuudeksi.
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Työn tavoitteena oli luoda hankintalogistiikan kehittämisen toimintamalli, sekä testata sitä yhden raaka-ainetoimittajan kanssa. Nykytilan kartoituksella havaittiin selkeästi nykyisen ostostrategian sekä operatiivisten ostotoimenpiteiden kehittämisen tarve. Erityisen selvä heikkous on nykyisten toimittajien suuri lukumäärä. Jatkossa tulisi keskittyä ostovoiman lisäämiseen ja pyrkiä entistä pidempiin yhteistyösopimuksiin. Työssä suunniteltiin valitun toimittajan ja yrityksen tarpeet sekä vaatimukset huomioiva hankintamalli. Kyseisen hankintamallin parametrien laskemiseksi sekä toimitusten valvomiseksi tehtiin Microsoft Excel -ohjelmalla pilottityökalu operatiiviselle hankintatoiminnalle. Yrityksen hankintatoiminnan kehittämiseksi tulisi keskittyä toimittajien lukumäärän sekä ostorutiinien vähentämiseen, tuotteiden ja nimikkeiden tehokkaaseen luokittelemiseen, tieto- ja tietoliikennetekniikan hyödyntämiseen hankintatoiminnan ja tuotannonohjauksen työkaluna sekä toimittajien toiminnan tehostamiseen yhteistyötä lisäämällä.
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Lopputyössä vertailtiin vesikiertoisen ja kaapeleilla toteutetun lattialämmityksen erilai-sia ominaisuuksia. Vertailuparametreinä olivat lattialämmitysten mitoitus, säätö, asen-nus, investointikustannukset, käyttökustannukset, vikaantuminen ja korjaus, asumis-viihtyvyys, käyttöön liittyvät tekijät, markkinat ja toimijat sekä lattian päällysteet. Näistä lat-tialämmityksien asumisviihtyvyys, säätö ja kustannukset otettiin tarkempaan vertailuun. Lämmitysjärjestelmien kokonaiskustannuksia vertailtiin 25 vuoden jaksolla ja 4 % ko-rolla. Investointikustannuksiin sisältyi lämmitysjärjestelmien lisäksi lkv-varaajan ja tek-nisen tilan kustannukset sekä liittymismaksut. Käyttökustannusten vertailussa otettiin huomioon lämmityskulujen lisäksi myös lämmityksen hyötysuhde, yö- ja päiväsähköosuudet ja -energian hinnat, taloussähkön kustannukset, perusmaksut sekä huoltokulut. Tutkimuksen mukaan halvin pientalojen lämmitysmuoto on osittain varaava huonekoh-tainen sähkölämmitys, jonka vuosittaisiksi kustannuksiksi tuli 11452 mk. Sähkölämmi-tyksen tekee vertailtavista halvimmaksi lämmitysjärjestelmäksi pientaloille (n. 150 m2) sen pienet pääomakustannukset, lämmityksen hyvä hyötysuhde sekä varsin kilpailuky-kyiset käyttökustannukset. Vertailun kallein oli öljyä energialähteenä käyttävä vesikiertoi-nen lattialämmitys, jonka vuosittaisiksi kustannuksiksi tuli 13080 mk. Öljy on energia-hinnaltaan halpa, mutta öljylämmityksen huono hyötysuhde sekä varsin korkeat pää-omakustannukset tekevät siitä vertailtavista kalleimman lämmitysmuodon. Energian hin-tojen herkkyysanalyysissä huomattiin sähkön säilyttävän kilpailukykynsä, vaikka öljyn ja maakaasun hinnat laskisivatkin huomattavasti. Asumismukavuuden ja säädön kohdalla vertailtiin lämpötilojen tasaisuutta huonetilois-sa. Mittauskohteiden huonelämpötiloja on seurattu eri projekteissa jatkuvatoimisesti jo-pa yli kahden vuoden ajan. Mittaustulosten mukaan vesikiertoisella lattialämmityksellä huonelämpötilat ovat tasaisemmat kuin osittain varaavalla huonekohtaisella sähköläm-mityksellä. Tämä johtuu sähkölämmityksen varaavuudesta. Hyvillä yhdistelmätermostaateilla päästään tosin myös huonekohtaisen sähkölämmityksen yhteydessä tasaisiin huonelämpötiloihin. Molempien lämmitysmuotojen säädön heikkoutena on hidas reagointi sisäisten lämmönlähteiden aiheuttamaan nopeaan sisälämpötilan nousuun.
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Tutkielman tavoitteena oli selvittää organisaation osaamisen ja uudistumiskyvyn strategiset vahvuudet, heikkoudet ja kehittämiskohteet case-organisaatio Puumerkki Oy:ssä. Mittausten avulla haluttiin selvittää uuden organisaation toimivuus, organisaation osaamisen nykytila sekä toiminnan nykytilanne suhteessa strategiaan ja muihin yrityksiin. Tutkielmassa käytettiin sekä kvantitatiivista että kvalitatiivista tutkimusotetta. Olemassa olevalla mittarilla (KM-factor -organisaation uudistumiskyvyn mittari) mitattiin case-yritys, Puumerkki Oy. Mittauksia tehtiin kaksi: kesäkuussa 2003 ja tammikuussa 2004. Näin saatiin selville muutoksen ja kehityksen suunta sekä edistyminen. Mittausten kohteena olivat kaikki Puumerkki Oy:n työntekijät. Tutkimuksen luotettavuuden takaamiseksi ja tarkistamiseksi haastateltiin teemahaastatteluin lokakuussa 2003 Puumerkin henkilöstöstä kymmentä (10) satunnaisesti valittua henkilöä, ensimmäisen mittauksen (06/2003) alueellista vastausjakaumaa mukaillen. KM-factor mittausten tulosraportit analysoitiin ja purettiin sanalliseen muotoon sekä tuloksista tiivistettiin lyhyt esitys organisaation henkilöstölle raportointia varten. Haastatteluaineisto analysoitiin purkamalla haastattelut sanallisiksi teema-alueiden mukaisiin kokonaisuuksiin ja vertaamalla niitä mittauksien tuloksiin. Mittausten avulla kerättiin tietoa organisaation osaamisen, tiedonkulun, suhteiden ja johtamisen nykyisestä toiminnasta ja niiden tavoitetilasta eri tietoympäristöissä. Mittauksen mukaan Puumerkki Oy:n uudistumiskyky oli parempi kuin vertailuryhmällä ja toiminnan suunta oli oikea, strategian mukainen. Puumerkki Oy:n vahvuuksia olivat keskinäinen sitoutuminen tavoitteisiin, haasteellinen tavoitetaso, tilanneherkkyys ja yksimielisyys muutostarpeista. Mitään erityisen heikkoa aluetta ei mittauksessa löytynyt. Toiminnasta löytyi kuitenkin muutamia yleisiä kehityskohteita: liian autoritäärinen johtaminen, heikko innovaatiopotentiaali eli yrityksen jatkuva kehittämiskyky ja suuret yksikkökohtaiset (alueelliset) erot. Yrityksen kulttuurin, infrastruktuurin, viestinnän ja tietoteknisten työkalujen tulisi tukea aktiivista tiedonvaihtoa ja uuden tiedon hyödyntämistä.
Resumo:
The main target of the study was to examine how Fortum’s tax reporting system could be developed in a way that it collects required information which is also easily transferable to the financial statements. This included examining disclosure requirements for income taxes under IFRS and US GAAP. By benchmarking some Finnish, European and US companies the purpose was to get perspective in what extend they present their tax information in their financial statements. Also material weakness, its existence, was under examination. The research method was qualitative, descriptive and normative. The research material included articles and literature of the tax reporting and standards relating to it. The interviews made had a notable significance. The study pointed out that Fortum’s tax reporting is in good shape and it does not require big changes. The biggest renewal of the tax reporting system is that there is only one model for all Fortum’s companies. It is also more automated, quicker, and more efficient and it reminds more the notes in its shape. In addition it has more internal controls to improve quality and efficiency of the reporting process.
Resumo:
Last two decades have seen a rapid change in the global economic and financial situation; the economic conditions in many small and large underdeveloped countries started to improve and they became recognized as emerging markets. This led to growth in the amounts of global investments in these countries, partly spurred by expectations of higher returns, favorable risk-return opportunities, and better diversification alternatives to global investors. This process, however, has not been without problems and it has emphasized the need for more information on these markets. In particular, the liberalization of financial markets around the world, globalization of trade and companies, recent formation of economic and regional blocks, and the rapid development of underdeveloped countries during the last two decades have brought a major challenge to the financial world and researchers alike. This doctoral dissertation studies one of the largest emerging markets, namely Russia. The motivation why the Russian equity market is worth investigating includes, among other factors, its sheer size, rapid and robust economic growth since the turn of the millennium, future prospect for international investors, and a number of important major financial reforms implemented since the early 1990s. Another interesting feature of the Russian economy, which gives motivation to study Russian market, is Russia’s 1998 financial crisis, considered as one of the worst crisis in recent times, affecting both developed and developing economies. Therefore, special attention has been paid to Russia’s 1998 financial crisis throughout this dissertation. This thesis covers the period from the birth of the modern Russian financial markets to the present day, Special attention is given to the international linkage and the 1998 financial crisis. This study first identifies the risks associated with Russian market and then deals with their pricing issues. Finally some insights about portfolio construction within Russian market are presented. The first research paper of this dissertation considers the linkage of the Russian equity market to the world equity market by examining the international transmission of the Russia’s 1998 financial crisis utilizing the GARCH-BEKK model proposed by Engle and Kroner. Empirical results shows evidence of direct linkage between the Russian equity market and the world market both in regards of returns and volatility. However, the weakness of the linkage suggests that the Russian equity market was only partially integrated into the world market, even though the contagion can be clearly seen during the time of the crisis period. The second and the third paper, co-authored with Mika Vaihekoski, investigate whether global, local and currency risks are priced in the Russian stock market from a US investors’ point of view. Furthermore, the dynamics of these sources of risk are studied, i.e., whether the prices of the global and local risk factors are constant or time-varying over time. We utilize the multivariate GARCH-M framework of De Santis and Gérard (1998). Similar to them we find price of global market risk to be time-varying. Currency risk also found to be priced and highly time varying in the Russian market. Moreover, our results suggest that the Russian market is partially segmented and local risk is also priced in the market. The model also implies that the biggest impact on the US market risk premium is coming from the world risk component whereas the Russian risk premium is on average caused mostly by the local and currency components. The purpose of the fourth paper is to look at the relationship between the stock and the bond market of Russia. The objective is to examine whether the correlations between two classes of assets are time varying by using multivariate conditional volatility models. The Constant Conditional Correlation model by Bollerslev (1990), the Dynamic Conditional Correlation model by Engle (2002), and an asymmetric version of the Dynamic Conditional Correlation model by Cappiello et al. (2006) are used in the analysis. The empirical results do not support the assumption of constant conditional correlation and there was clear evidence of time varying correlations between the Russian stocks and bond market and both asset markets exhibit positive asymmetries. The implications of the results in this dissertation are useful for both companies and international investors who are interested in investing in Russia. Our results give useful insights to those involved in minimising or managing financial risk exposures, such as, portfolio managers, international investors, risk analysts and financial researchers. When portfolio managers aim to optimize the risk-return relationship, the results indicate that at least in the case of Russia, one should account for the local market as well as currency risk when calculating the key inputs for the optimization. In addition, the pricing of exchange rate risk implies that exchange rate exposure is partly non-diversifiable and investors are compensated for bearing the risk. Likewise, international transmission of stock market volatility can profoundly influence corporate capital budgeting decisions, investors’ investment decisions, and other business cycle variables. Finally, the weak integration of the Russian market and low correlations between Russian stock and bond market offers good opportunities to the international investors to diversify their portfolios.
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Testaustapausten valitseminen on testauksessa tärkeää, koska kaikkia testaustapauksia ei voida testata aika- ja raharajoitteiden takia. Testaustapausten valintaan on paljon eri menetelmiä joista eniten esillä olevat ovat malleihin perustuva valinta, kombinaatiovalinta ja riskeihin perustuva valinta. Kaikkiin edellä mainittuihin menetelmiin testaustapaukset luodaan ohjelman spesifikaation perusteella. Malleihin perustuvassa menetelmässä käytetään hyväksi ohjelman toiminnasta olevia malleja, joista valitaan tärkeimmät testattavaksi. Kombinaatiotestauksessa testitapaukset on muodostettu ominaisuuspareina jolloin yhden parin testaamisesta päätellään kahden ominaisuuden toiminta. Kombinaatiotestaus on tehokas löytämään virheitä, jotka johtuvat yhdestä tai kahdesta tekijästä. Riskeihin perustuva testaus pyrkii arvioimaan ohjelman riskejä ja valitsemaan testitapaukset niiden perusteella. Kaikissa menetelmissä priorisointi on tärkeässä roolissa, jotta testauksesta saadaan riittävä luotettavuus ilman kustannusten nousua.
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The objective of this dissertation is to improve the dynamic simulation of fluid power circuits. A fluid power circuit is a typical way to implement power transmission in mobile working machines, e.g. cranes, excavators etc. Dynamic simulation is an essential tool in developing controllability and energy-efficient solutions for mobile machines. Efficient dynamic simulation is the basic requirement for the real-time simulation. In the real-time simulation of fluid power circuits there exist numerical problems due to the software and methods used for modelling and integration. A simulation model of a fluid power circuit is typically created using differential and algebraic equations. Efficient numerical methods are required since differential equations must be solved in real time. Unfortunately, simulation software packages offer only a limited selection of numerical solvers. Numerical problems cause noise to the results, which in many cases leads the simulation run to fail. Mathematically the fluid power circuit models are stiff systems of ordinary differential equations. Numerical solution of the stiff systems can be improved by two alternative approaches. The first is to develop numerical solvers suitable for solving stiff systems. The second is to decrease the model stiffness itself by introducing models and algorithms that either decrease the highest eigenvalues or neglect them by introducing steady-state solutions of the stiff parts of the models. The thesis proposes novel methods using the latter approach. The study aims to develop practical methods usable in dynamic simulation of fluid power circuits using explicit fixed-step integration algorithms. In this thesis, twomechanisms whichmake the systemstiff are studied. These are the pressure drop approaching zero in the turbulent orifice model and the volume approaching zero in the equation of pressure build-up. These are the critical areas to which alternative methods for modelling and numerical simulation are proposed. Generally, in hydraulic power transmission systems the orifice flow is clearly in the turbulent area. The flow becomes laminar as the pressure drop over the orifice approaches zero only in rare situations. These are e.g. when a valve is closed, or an actuator is driven against an end stopper, or external force makes actuator to switch its direction during operation. This means that in terms of accuracy, the description of laminar flow is not necessary. But, unfortunately, when a purely turbulent description of the orifice is used, numerical problems occur when the pressure drop comes close to zero since the first derivative of flow with respect to the pressure drop approaches infinity when the pressure drop approaches zero. Furthermore, the second derivative becomes discontinuous, which causes numerical noise and an infinitely small integration step when a variable step integrator is used. A numerically efficient model for the orifice flow is proposed using a cubic spline function to describe the flow in the laminar and transition areas. Parameters for the cubic spline function are selected such that its first derivative is equal to the first derivative of the pure turbulent orifice flow model in the boundary condition. In the dynamic simulation of fluid power circuits, a tradeoff exists between accuracy and calculation speed. This investigation is made for the two-regime flow orifice model. Especially inside of many types of valves, as well as between them, there exist very small volumes. The integration of pressures in small fluid volumes causes numerical problems in fluid power circuit simulation. Particularly in realtime simulation, these numerical problems are a great weakness. The system stiffness approaches infinity as the fluid volume approaches zero. If fixed step explicit algorithms for solving ordinary differential equations (ODE) are used, the system stability would easily be lost when integrating pressures in small volumes. To solve the problem caused by small fluid volumes, a pseudo-dynamic solver is proposed. Instead of integration of the pressure in a small volume, the pressure is solved as a steady-state pressure created in a separate cascade loop by numerical integration. The hydraulic capacitance V/Be of the parts of the circuit whose pressures are solved by the pseudo-dynamic method should be orders of magnitude smaller than that of those partswhose pressures are integrated. The key advantage of this novel method is that the numerical problems caused by the small volumes are completely avoided. Also, the method is freely applicable regardless of the integration routine applied. The superiority of both above-mentioned methods is that they are suited for use together with the semi-empirical modelling method which necessarily does not require any geometrical data of the valves and actuators to be modelled. In this modelling method, most of the needed component information can be taken from the manufacturer’s nominal graphs. This thesis introduces the methods and shows several numerical examples to demonstrate how the proposed methods improve the dynamic simulation of various hydraulic circuits.
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Transportation and warehousing are large and growing sectors in the society, and their efficiency is of high importance. Transportation also has a large share of global carbondioxide emissions, which are one the leading causes of anthropogenic climate warming. Various countries have agreed to decrease their carbon emissions according to the Kyoto protocol. Transportation is the only sector where emissions have steadily increased since the 1990s, which highlights the importance of transportation efficiency. The efficiency of transportation and warehousing can be improved with the help of simulations, but models alone are not sufficient. This research concentrates on the use of simulations in decision support systems. Three main simulation approaches are used in logistics: discrete-event simulation, systems dynamics, and agent-based modeling. However, individual simulation approaches have weaknesses of their own. Hybridization (combining two or more approaches) can improve the quality of the models, as it allows using a different method to overcome the weakness of one method. It is important to choose the correct approach (or a combination of approaches) when modeling transportation and warehousing issues. If an inappropriate method is chosen (this can occur if the modeler is proficient in only one approach or the model specification is not conducted thoroughly), the simulation model will have an inaccurate structure, which in turn will lead to misleading results. This issue can further escalate, as the decision-maker may assume that the presented simulation model gives the most useful results available, even though the whole model can be based on a poorly chosen structure. In this research it is argued that simulation- based decision support systems need to take various issues into account to make a functioning decision support system. The actual simulation model can be constructed using any (or multiple) approach, it can be combined with different optimization modules, and there needs to be a proper interface between the model and the user. These issues are presented in a framework, which simulation modelers can use when creating decision support systems. In order for decision-makers to fully benefit from the simulations, the user interface needs to clearly separate the model and the user, but at the same time, the user needs to be able to run the appropriate runs in order to analyze the problems correctly. This study recommends that simulation modelers should start to transfer their tacit knowledge to explicit knowledge. This would greatly benefit the whole simulation community and improve the quality of simulation-based decision support systems as well. More studies should also be conducted by using hybrid models and integrating simulations with Graphical Information Systems.
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The goals of the study were to describe patients’ perceptions of care after experiencing seclusion/restraint and their quality of life. The goal was moreover to identify methodological challenges related to studies from the perspective of coerced patients. The study was conducted in three phases between September 2008 and April 2012. In the first phase, the instrument Secluded/ Restrained Patients’ Perception of their Treatment (SR-PPT) was developed and validated in Japan in cooperation with a Finnish research group (n = 56). Additional data were collected over one year from secluded/restrained patients using the instrument (n = 90). In the second phase, data were collected during the discharge process (n = 264). In the third phase, data were collected from electronic databases. Methodological and ethical issues were reviewed (n = 32) using systematic review method. Patients perceived that co-operation with the staff was poor; patients’ opinions were not taken into account, treatment targets collated and treatment methods were seen in different ways. Patients also felt that their concerns were not well enough understood. However, patients received getting nurses’ time. In particular, seclusion/restraint was considered unnecessary. The patients felt that they benefited from the isolation in treating their problems more than they needed it, even if the benefit was seen to be minor. Patients treated on forensic wards rated their treatment and care significantly lower than in general units. During hospitalization secluded/restrained patients evaluated their quality of life, however, better than did non-secluded/restrained patients. However, no conclusion is drawn to the effect that the better quality of life assessment is attributable to the seclusion/restraint because patients’ treatment period after the isolation was long and because of many other factors, as rehabilitation, medication, diagnostic differences, and adaptation. According to the systematic mixed studies review variation between study designs was found to be a methodological challenge. This makes comparison of the results more difficult. A research ethical weakness is conceded as regards descriptions of the ethical review process (44 %) and informed consent (32 %). It can be concluded that patients in psychiatric hospital care and having a voice as an equal expert require special attention to clinical nursing, decision-making and service planning. Patients and their family members will be consulted in plans of preventive and alternative methods for seclusion and restraint. The study supports the theory that in ethical decision-making situations account should be taken of medical indications, in addition to the patients’ preferences, the effect of treatment on quality of life, and this depends on other factors. The connection between treatment decisions and a patient’s quality of life should be evaluated more structurally in practice. Changing treatment culture towards patients’ involvement will support daily life in nursing and service planning taking into account improvements in patients’ quality of life.
Resumo:
This problem of hell is a specific form of the problem of evil that can be expressed in terms of a set of putatively incompatible statements: 1. An omnipotent God could create a world in which all moral agents freely choose life with God. 2. An omnibenevolent God would not create a world with the foreknowledge that some (perhaps a significant proportion) of God’s creatures would end up in hell. 3. An omniscient God would know which people will end up in hell. 4. Some people will end up forever in hell. Since the late twentieth century, a number of British and North American philosophical theologians, inspired by C.S. Lewis, have developed a new approach to answering the problem of hell. Very little work has been done to systematize this category of perspectives on the duration, quality, purpose and finality of hell. Indeed, there is no consensus among scholars as to what such an approach should be called. In this work, however, I call this perspective issuantism. Starting from the works of a wide range of issuantist scholars, I distill what I believe to be the essence of issuantist perspectives on hell: hell is a state that does not result in universal salvation and is characterized by the insistance that both heaven and hell must issue from the love of God, an affirmation of libertarian human freedom and a rejection of retributive interpretations of hell. These sine qua non characteristics form what I have labeled basic issuantism. I proceed to show that basic issuantism by itself does not provide an adequate answer to the problem of hell. The issuantist scholars themselves, however, recognize this weakness and add a wide range of possible supplements to their basic issuantism. Some of these supplemented versions of issuantism succeed in presenting reasonable answers to the problem of hell. One of the key reasons for the development of issuantist views of hell is a perceived failure on the part of conditionalists, universalists and defenders of hell as eternal conscious torment to give adequate answers to the problem of hell. It is my conclusion, however, that with the addition of some of the same supplements, versions of conditionalism and hell as eternal conscious torment can be advanced that succeed just as well in presenting answers to the problem of hell as those advanced by issuantists, thus rendering some of the issuantist critique of non-issuantist perspectives on hell unfounded.