934 resultados para bad conscience


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Työn tavoitteena oli selvittää Vuosaaren sataman käyttöönoton ja Helsingin nykyisten tavarasatamien siirron samanaikaissuutta siten, että palvelu toimii koko ajan. Tässä tutkimuksessa Vuosaaren satamalle muodostettiin erilaisia käyttöönottomalleja, joista kartoitettiin hyviä ja huonoja puolia. Ennen käyttöönottomallien muodostamista selvitettiin, mitä satamatoiminnot ovat Helsingin satamassa tällä hetkellä ja miten satamatoiminnot muuttuvat siirryttäessä Vuosaaren satamaan. Tämä tutkimus on ensiaskel ennen kokonaisvaltaista Vuosaaren sataman käyttöönoton ja nykyisten tavarasatamien siirron suunnittelua.

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 Main goal of this thesis was to implement a localization system which uses sonars and WLAN intensity maps to localize an indoor mobile robot. A probabilistic localization method, Monte Carlo Localization is used in localization. Also the theory behind probabilistic localization is explained. Two main problems in mobile robotics, path tracking and global localization, are solved in this thesis. Implemented system can achieve acceptable performance in path tracking. Global localization using WLAN received signal strength information is shown to provide good results, which can be used to localize the robot accurately, but also some bad results, which are no use when trying to localize the robot to the correct place. Main goal of solving ambiguity in office like environment is achieved in many test cases.

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Résumé Les champignons endomycorhiziens arbusculaires (CEA) ont co-évolué avec les plantes terrestres depuis plus de 400 millions d'années. De nos jours, les CEA forment une symbiose avec les racines de la majorité des plantes terrestres. Les CEA sont écologiquement importants parce qu'ils influencent non seulement la croissance des plantes, mais aussi leur diversité. Les CEA sont des biotrophes obligatoires qui reçoivent leur énergie sous forme de glucides issus de la photosynthèse des plantes. En contrepartie, les CEA apportent à leurs hôtes du phospore. Les CEA croissent et se reproduisent clonalement en formant des hyphes et des spores. De plus, les CEA sont coenocytiques et multigénomiques; le cytoplasme d'un CEA contient des noyeaux génétiquement différents. De nombreuses études ont démontré que différentes espèces de CEA agissent différentiellement sur la croissance des plantes. Malgré une conscience de plus en plus forte de l'existence d'une variabilité intraspécifique, la question de savoir si les populations de CEA sont génétiquement variables a été largement négligée. Dans le Chapitre 2, j'ai cherché à savoir si une population de CEA provenant d'un seul champ possède une diversité génétique. Cette étude a mis en évidence une importante variation génétique et phénotypique au sein d'individus de la même population. Des différences au niveau de traits de croissance, héritables et liés à la valeur sélective, indiquent que la variation génétique observée entre isolats n'est pas entièrement neutre. Dans le Chapitre 3, je montre que les différences génétiques entre isolats de CEA d'une population provoquent de la variation dans la croissance des plantes. L'effet des isolats dépend des conditions environnementales et varie de bénéfique à parasitique. Dans le Chapitre 4, je montre que des traits de croissance de CEA varient significativement dans des environnements contrastés. J'ai détecté de fortes interactions entre différents génotypes de CEA et différentes espèces de plantes. Ceci suggère que dans un environnement hétérogène, la sélection pourrait localement favoriser différents génotypes de CEA, maintenant ainsi la diversité génétique dans la population. Les résultats de ce travail aident à mieux comprendre l'importance écologique de la variation intraspécifique des CEA. La possibilité de pouvoir cultiver des individus d'une population de CEA au laboratoire nous a permis une meilleure compréhension de la génétique de ces champignons. De plus, ce travail est une base pour de futures expériences visant à comprendre l'importance évolutive de la diversité intraspécifique des CEA. Abstract Arbuscular mycorrhizal fungi (A1VIF) have co-evolved with land plants -for over 400 million years. Today, AMF form symbioses with roots of most land plants and are ecologically important because they alter plant growth and affect plant diversity. AMF are obligate biotrophs, obtaining their energy in form of plant-derived photosynthates. In return,- they supply their host plants with phosphorous. These fungi grow and reproduce clonally by hyphae and spores. They are coenocytic and multigenomic, harbouring genetically different nuclei in a common cytoplasm. Many studies have shown different AMF species differentially alter plant growth. Despite the increasing awareness of intraspecific variability the question whether there is any genetic variation among different individuals of the same population has been largely neglected. In Chapter 2, we investigated whether there is genetic diversity in a field population of the AMF G. intraradices. This work revealed that large genetic and heritable phenotypic variation exists in this AMF population. Differences in fitness-related growth traits among isolates suggest that some of the observed genetic variation is not selectively neutral. In Chapter 3, we show that genetic differences among isolates from the same population also cause variation in plant growth. The isolate effects on plant growth depended on the environmental conditions and varied from beneficial to detrimental. In Chapter 4, fitnessrelated growth traits of genetically different isolates were significantly altered in contrasting environments. we detected strong AMF isolate by host species interacfions which suggests that in a heterogeneous environment selection could locally favour different AMF genotypes, thereby maintaining high genetic diversity in the population. The results of this work contribute to the understanding of the ecological importance of intraspecific diversity in AMF. The possibility of culturing individuals of an AMF field population under laboratory condition gave new insights into AMF genetics and lays a foundation for future studies to analyse the evolutionary significance of intraspecific genetic diversity in AMF.

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The patent system was created for the purpose of promoting innovation by granting the inventors a legally defined right to exclude others in return for public disclosure. Today, patents are being applied and granted in greater numbers than ever, particularly in new areas such as biotechnology and information andcommunications technology (ICT), in which research and development (R&D) investments are also high. At the same time, the patent system has been heavily criticized. It has been claimed that it discourages rather than encourages the introduction of new products and processes, particularly in areas that develop quickly, lack one-product-one-patent correlation, and in which theemergence of patent thickets is characteristic. A further concern, which is particularly acute in the U.S., is the granting of so-called 'bad patents', i.e. patents that do not factually fulfil the patentability criteria. From the perspective of technology-intensive companies, patents could,irrespective of the above, be described as the most significant intellectual property right (IPR), having the potential of being used to protect products and processes from imitation, to limit competitors' freedom-to-operate, to provide such freedom to the company in question, and to exchange ideas with others. In fact, patents define the boundaries of ownership in relation to certain technologies. They may be sold or licensed on their ownor they may be components of all sorts of technology acquisition and licensing arrangements. Moreover, with the possibility of patenting business-method inventions in the U.S., patents are becoming increasingly important for companies basing their businesses on services. The value of patents is dependent on the value of the invention it claims, and how it is commercialized. Thus, most of them are worth very little, and most inventions are not worth patenting: it may be possible to protect them in other ways, and the costs of protection may exceed the benefits. Moreover, instead of making all inventions proprietary and seeking to appropriate as highreturns on investments as possible through patent enforcement, it is sometimes better to allow some of them to be disseminated freely in order to maximize market penetration. In fact, the ideology of openness is well established in the software sector, which has been the breeding ground for the open-source movement, for instance. Furthermore, industries, such as ICT, that benefit from network effects do not shun the idea of setting open standards or opening up their proprietary interfaces to allow everyone todesign products and services that are interoperable with theirs. The problem is that even though patents do not, strictly speaking, prevent access to protected technologies, they have the potential of doing so, and conflicts of interest are not rare. The primary aim of this dissertation is to increase understanding of the dynamics and controversies of the U.S. and European patent systems, with the focus on the ICT sector. The study consists of three parts. The first part introduces the research topic and the overall results of the dissertation. The second part comprises a publication in which academic, political, legal and business developments that concern software and business-method patents are investigated, and contentiousareas are identified. The third part examines the problems with patents and open standards both of which carry significant economic weight inthe ICT sector. Here, the focus is on so-called submarine patents, i.e. patentsthat remain unnoticed during the standardization process and then emerge after the standard has been set. The factors that contribute to the problems are documented and the practical and juridical options for alleviating them are assessed. In total, the dissertation provides a good overview of the challenges and pressures for change the patent system is facing,and of how these challenges are reflected in standard setting.

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Values and value processes are said to be needed in every organization nowadays, as the world is changing and companies have to have something to "keep it together". Organizational values, which are approvedand used by the personnel, could be the key. Every organization has values. But what is the real value of values? The greatest and most crucial challenge is the feasibility of the value process. The main point in this thesis is tostudy how organizational members at different hierarchical levels perceive values and value processes in their organizations. This includes themes such as how values are disseminated, the targets of value processing, factors that affect the process, problems that occur during the value implementation and improvements that could be made when organizational values are implemented. These subjects are studied from the perspective of organizational members (both managers and employees); individuals in the organizations. The aim is to get the insider-perspective on value processing, from multiple hierarchical levels. In this research I study three different organizations (forest industry, bank and retail cooperative) and their value processes. The data is gathered from companies interviewing personnel in the head office and at the local level. The individuals areseen as members of organizations, and the cultural aspect is topical throughout the whole study. Values and cultures are seen as the 'actuality of reality' of organizations, interpreted by organizational members. The three case companies were chosen because they represented different lines of business and they all implemented value processing differently. Sincethe emphasis in this study is at the local level, the similar size of the local units was also an important factor. Values are in 'fashion' -but what does the fashion tell us about the real corporate practices? In annual reports companies emphasize the importance and power of official values. But what is the real 'point' of values? Values are publicly respected and advertised, but still it seems that the words do not meet the deeds. There is a clear conflict between theoretical, official and substantive organizational values: in the value processing from words to real action. This contradiction in value processing is studied through individual perceptions in this study. I study the kinds of perceptions organizationalmembers have when values are processed from the head office to the local level: the official value process is studied from the individual's perspective. Value management has been studied more during the 1990's. The emphasis has usually been on managers: how they consider the values in organizations and what effects it has on the management. Recent literature has emphasized values as tools for improving company performance. The value implementation as a process has been studied through 'good' and 'bad' examples, as if one successful value process could be copied to all organizations. Each company is different with different cultures and personnel, so no all-powerful way of processing values exists. In this study, the organizational members' perceptions at different hierarchical levels are emphasized. Still, managers are also interviewed; this is done since managerial roles in value dissemination are crucial. Organizational values cannot be well disseminated without management; this has been proved in several earlier studies (e.g. Kunda 1992, Martin 1992, Parker 2000). Recent literature has not sufficiently emphasized the individual's (organizational member's) role in value processing. Organizations consist of differentindividuals with personal values, at all hierarchical levels. The aim in this study is to let the individual take the floor. Very often the value process is described starting from the value definition and ending at dissemination, and the real results are left without attention. I wish to contribute to this area. Values are published officially in annual reports etc. as a 'goal' just like profits. Still, the results/implementationof value processing is rarely followed, at least in official reports. This is a very interesting point: why do companies espouse values, if there is no real control or feedback after the processing? In this study, the personnel in three different companies is asked to give an answer. In the empirical findings, there are several results which bring new aspects to the research area of organizational values. The targets of value processing, factors effecting value processing, the management's roles and the problems in value implementation are presented through the individual's perspective. The individual's perceptions in value processing are a recurring theme throughout the whole study. A comparison between the three companies with diverse value processes makes the research complete

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Fundamento: La prevalencia de discapacidad en la población general presenta una gran variabilidad geográfica, de manera que identificar aquellos factores que pudieran explicarla será importante para la planificación de políticas sociales. En este trabajo se analiza la variabilidad de la discapacidad por comunidades autónomas desde una doble vertiente, los factores individuales y del entorno. Métodos: Los datos proceden principalmente de la Encuesta de Discapacidad, Deficiencias y Estado de Salud de 1999 y del Inebase, ambas del Instituto Nacional de Estadística (INE). Se calculó la prevalencia de discapacidad simple y ajustada por edad de las CCAA. Se analizan los factores individuales asociados a la discapacidad mediante una regresión logística y los factores individuales y de la comunidad autónoma conjuntamente con una regresión logística de dos niveles. Resultados: La prevalencia de discapacidad muestra una diferencia máxima de 5,75 puntos entre las comunidades autónomas. En la regresión logística la comunidad de residencia fue estadísticamente significativa (OR: 3,35 en la de mayor prevalencia respecto a la de menor) junto con otras variables individuales: edad (OR de 40-64= 1,78 OR de 65-79= 1,87 y OR de >79= 3,34), sexo (OR mujer= 0,66), situación laboral (OR sin trabajo=2,25 OR amas casa/estudiante=1,39 y OR otros=2,03), estado de salud (OR regular= 1,69 OR malo/muy malo= 2,05) y enfermedades crónicas (OR 1-3=1,56 OR4-6=1,82 OR>6=2,59). En la regresión de dos niveles las variables individuales explican poca varianza (s=0,261) y ninguna de las variables relativas a las CCAA mejora el modelo. Conclusiones: Las características individuales no explican suficientemente la variabilidad de la discapacidad entre CCAA y no se han identificado variables del entorno que sean significativas.

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Si el observador y el observado forman parte del mismo objeto descrito, la convergencia entre el sujeto cognoscente y el objeto por conocer no puede sustraerse del principio de reflexividad, que propicia una mejor y más profunda solidez del corpus científico generado. La superioridad del principio de reflexividad se fundamenta en la naturaleza autorreferente de los sistemas sociales, esto es, en la capacidad que desarrollan los sistemas para tomar conciencia de sí y delimitarse respecto a un entorno o ambiente. A través de tal delimitación los sistemas acceden a la autoobservación, sin ella los sistemas no son capaces de generar todos los componentes que precisan para sus operaciones, esto es, no son capaces de llevar a cabo sus procesos autopoiéticos.

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Justificación. Aunque la violencia durante el noviazgo ha sido poco estudiada, algunas investigaciones revelan que su incidencia puede ser elevada. Su detección precoz es fundamental para realizar una labor preventiva entre los jóvenes. Objetivo. El objetivo de este estudio fue identificar algunas conductas, actitudes y , valores que una muestra de mujeres estudiantes de enfermería atribuía a sus parejas masculinas y que podrían ser precursoras de violencia y abuso. Metodología. Se realizó un estudio descriptivo y transversal mediante encuesta autoadministrada a una muestra de estudiantes de 18 a 24 años, de cinco Escuelas de Enfermería de Cataluña. Se empleó una versión adaptada del Cuestionario de prevención y detección de la violencia durante el noviazgo de G. Ferreira. Las 48 preguntas se agruparon en 11 categorías por tratarse de formulaciones que exploraban cuestiones similares. Resultados principales. Se obtuvieron 390 respuestas. En el momento de la encuesta tenía pareja el 64% de la muestra. Los comportamientos en que el varón: "Controla. Fiscaliza. Prohíbe", se confirmaron en el 13,9% de las encuestadas. Las "Amenazas. Insultos" y las conductas en que él "Aísla. Es antisocial", agruparon el mayor número (95%) de respuestas negativas. Conclusión. Según el estudio se descartan las conductas y actitudes que pueden considerarse precursoras de situaciones de mal trato contra la mujer. El cuestionario con preguntas cerradas puede que deba complementarse con otras técnicas (cualitativas) para obtener una información más fiable y válida.

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An accumulation of years brings with it an accumulation of experiences. The revision of such experiences usually becomes more recurrent after retirement, a transition time from one period of life to another and, as such, a time in which we, human beings, have a tendency to take stock of our lives. This is actually one of the main issues present in Julian Barnes's last novel The Sense of an Ending (2011). When the main protagonist, a retired man quite comfortable and contented with his present life, receives an unexpected inheritance from the mother of a girlfriend from his university years, he is forced to track down a part of his life that he had left at the back of his mind a long time ago. As he explains his story, the protagonist and narrator of the novel raises a number of questions related to the quality and function of memory as one gets into old age. He experiments the unreliability of memory and questions to what extent memory is constructed through the remembered emotions that invaded him over that episode of his life rather than through the events as they actually took place. On the other hand, the act of revisiting and revising that specific episode, brings with it feelings of guilt and remorse as the protagonist realises that his past acts were not as noble as he remembered them to be. However, these acts are part of the past and they cannot be changed; thus, another question that the novel raises is how to account for those actions of which one does not feel proud and, more importantly, how to manage those bad memories as one gets older.

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La promotion de la santé au travail, le transfert de connaissances et l'échange d'expériences font partie, entre autres, des missions de l'Institut universitaire romand de Santé au Travail (IST). La collaboration entre un pays industrialisé et un pays en voie de développement peut fortement contribuer à la prise de conscience d'un concept important comme celui de la santé au travail. Au Bénin, une formation spécialisée en santé au travail a été mise en place depuis une dizaine d'années. Pour soutenir ses activités de coopération, l'IST a développé, avec le soutien de l'Organisation mondiale de la Santé (OMS) et avec le concours du Service de toxicologie industrielle et des pollutions intérieures de l'Etat de Genève (STIPI), le livre « Introduction à l'hygiène du travail ». Ce document représente un support de cours utile pour former des spécialistes et des intervenants en santé et sécurité au travail qui ne sont pas hygiénistes du travail. Il a été imprimé en 2007 à grande échelle dans la série « Protecting workers' health » de l'OMS et est accessible électroniquement sur le site de l'OMS. Le but de ce travail de diplôme est de mettre en pratique et d'évaluer ce support de cours dans le cadre d'une formation spécialisée en Santé au Travail à la Faculté des Sciences de la Santé de l'Université d'Abomey Calavi à Cotonou, Bénin. Le module d'hygiène du travail a été donné sur une semaine de cours. La semaine était composée de cours théoriques, de visites d'entreprises ainsi que d'un examen d'évaluation en fin de semaine. Globalement, malgré la densité du cours, les messages importants du module ont été acquis. Le support du cours est un outil permettant de transmettre les bases d'une discipline importante dans le domaine de la santé au travail, notamment dans un pays où la législation est encore balbutiante.

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Although the citriculture is one of the most important economic activities in Brazil, it is based on a small number of varieties. This fact has contributed for the vulnerability of the culture regarding the phytosanitary problems. A higher number of varieties/genotypes with potential for commercial growing, either for the industry or fresh market, has been one of the main objectives of citrus breeding programs. The genetic breeding of citrus has improved, in the last decades, due to the possibility of an association between biotechnological tools and classical methods of breeding. The use of molecular markers for early selection of zygotic seedlings from controlled crosses resulted in the possibility of selection of a high number of new combination and, as a consequence, the establishment of a great number of hybrids in field experiments. The faster new tools are incorporated in the program, the faster is possibility to reach new genotypes that can be tested as a new variety. Good traits should be kept or incorporate, whereas bad traits have to be excluded or minimized in the new genotype. Scion and rootstock can not be considered separately, and graft compatibility, fruit quality and productivity are essential traits to be evaluated in the last stages of the program. The mapping of QTLs has favored breeding programs of several perennial species and in citrus it was possible to map several characteristics with qualitative and quantitative inheritance. The existence of linkage maps and QTLs already mapped, the development of EST and BAC library and the sequencing of the Citrus complete genome altogether make very demanding and urgent the exploration of such data to launch a wider genetic study of citrus. The rising of information on genome of several organisms has opened new approaches looking for integration between breeding, genetic and genome. Genome assisted selection (GAS) involves more than gene or complete genome sequencing and is becoming an import support in breeding programs of annual and perennial species. An huge information amount can be derivate from genome analysis. The use and benefit of such informations will depend on the genetic basis of the breeding program.

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Suomen ilmatilaa valvotaan reaaliaikaisesti, pääasiassa ilmavalvontatutkilla. Ilmatilassa on lentokoneiden lisäksi paljon muitakin kohteita, jotka tutka havaitsee. Tutka lähettää nämä tiedot edelleen ilmavalvontajärjestelmään. Ilmavalvontajärjestelmä käsittelee tiedot, sekä lähettää ne edelleen esitysjärjestelmään. Esitysjärjestelmässä tiedot esitetään synteettisinä merkkeinä, seurantoina joista käytetään nimitystä träkki. Näiden tietojen puitteissa sekä oman ammattitaitonsa perusteella ihmiset tekevät päätöksiä. Tämän työn tarkoituksena on tutkia tutkan havaintoja träkkien initialisointipisteessä siten, että voitaisiin määritellä tyypillinen rakenne sille mikä on oikea ja mikä väärä tai huono träkki. Tämän lisäksi tulisi ennustaa, mitkä Irakeista eivät aiheudu ilma- aluksista. Saadut tulokset voivat helpottaa työtä havaintojen tulkinnassa - jokainen lintuparvi ei ole ehdokas seurannaksi. Havaintojen luokittelu voidaan tehdä joko neurolaskennalla tai päätöspuulla. Neurolaskenta tehdään neuroverkoilla, jotka koostuvat neuroneista. Päätöspuu- luokittelijat ovat oppivia tietorakenteita kuten neuroverkotkin. Yleisin päätöpuu on binääripuu. Tämän työn tavoitteena on opettaa päätöspuuluokittelija havaintojen avulla siten, että se pystyy luokittelemaan väärät havainnot oikeista. Neurolaskennan mahdollisuuksia tässä työssä ei käsitellä kuin teoreettisesti. Työn tuloksena voi todeta, että päätöspuuluokittelijat ovat erittäin kykeneviä erottamaan oikeat havainnot vääristä. Vaikka tulokset olivat rohkaiseva, lisää tutkimusta tarvitaan määrittelemään luotettavammin tekijät, jotka parhaiten suorittavat luokittelun.

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Työn tarkoituksena on tarkastella ERP-järjestelmän käyttöönottoa ja tarjota ohjekartta kuinka tehdä se menestyksekkäästi. Lisäksi työ kartoittaa Konecranesin saamia etuja ja hyötyjä yrityksen ottaessa ERP-järjestelmä käyttöön. Käyttöönottoprojekti, sen vaiheet ja muut merkittävät ERP-projekteihin liittyvät vaiheet on kuvattu työssä yksityiskohtaisesti. Ensiksi ERP-järjestelmän käyttöönottoa tarkastellaan kirjallisuuteen perustuen. Myöhemmin sitä tarkastellaan perustuen kirjoittajan kokemuksiin ja havaintoihin ERP-järjestelmän käyttöönotosta, ja vertaillaan käytännön suhdetta teoriaan.ERP-järjestemät ovat kalliita ja niiden käyttöön ottaminen on aikaa vievää. Viimeisen vuosikymmenen aikana yritykset ovat enenevissä määrin alkaneet ottamaan ERP-järjestelmiä käyttöön. ERP-järjestelmät ovat saavuttaneet kasvavaa suosiota mm. niiden operaatioita integroivan ja tehostavan luonteesta ansiosta sekä niiden kyvystä tarjota päivitettyä tietoa reaaliajassa.Myös menestyksekkäissä ERP-projekteissa on parantamisen varaa. Mitattaessa ERP- projektin menestyksellisyyttä pitäisi käyttää sekä määrällisiä että laadullisia mittareita. On helppoa käyttää ainoastaan määrällisiä mittareita. Usein kuitenkin laadulliset asiat ovat tärkeämpiä. Ihmiset on saatava sitoutumaan yhteiseen tavoitteeseen kommunikaation avulla. Huonoja ensivaikutelmia on vaikea muuttaa. Vaikka vaikuttaisikin siltä, että ERP-projekti on onnistunut, kun kaikki näyttää hyvältä ”paperilla”, loppujen lopuksi systeemiä käyttävät ihmiset päättävät projektin menestyksellisyydestä. Järjestelmän käyttöönottohetkeä on pidettävä ERP-projektin ensimmäisenä vaiheena.

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Tässä työssä on tutkittu sellun kuivauskoneella koivusellua kuivattaessa esiintyvää ajettavuusongelmaa. Tähän ongelmaan on etsitty ratkaisua monimuuttujamenetelmien avulla. Työn kirjallisuusosassa on lyhyesti käyty läpi sellun kuivauskoneiden historia lieriöviirakoneista nykyaikaisiin kaksoisviirasovelluksiin. Lisäksi kirjallisuusosassa on käsitelty tässä työssä käytettyjen monimuuttujamenetelmien perusteet ja käyty esimerkin omaisesti läpi joitakin kemometrian sovelluksia puunjalostusteollisuudessa. Työn kokeellisessa osassa on haettu tiedonkeruujärjestelmästä massan ominaisuuksista ja kuivauskoneen ajoparametreistä koostuvaa dataa vuoden 1999 ajalta. Tästä datasta on tehty PCA-mallit vuoden 1999 jokaisen kuukauden datasta ja diskriminoiva PLS-malli ajettavuuden kannalta hyvästä ja huonosta jaksosta koostuvasta datasta. Kuivauskoneelta on koottu dataa myös ottamalla kiertovesi- ja selluarkkinäytteitä. Kiertovesinäytteiden analyysituloksista on tehty PCA-mallit ja lisäksi analyysitulokset on tarkasteltu yksimuuttujaisesti. Selluarkkinäytteistä on määritetty UV-spektrit ja niistä on tehty PCA-mallit, jotta spektreistä saataisiin mahdollisimman paljon informaatiota. Työssä on havaittu yhdeksi selitykseksi ajettavuusongelmalle kuivauskoneen kiertovesien likaantuminen. Kiertovesiä ja massarainan pintakemiaa tulisi kuitenkin tutkia laajemmassa mittakaavassa kuin tämän työn puitteissa on ollut mahdollista tutkia.

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Clinical experience and experimental data suggest that intradialytic hemodynamic profiles could be influenced by the characteristics of the dialysis membranes. Even within the worldwide used polysulfone family, intolerance to specific membranes was occasionally evoked. The aim of this study was to compare hemodynamically some of the commonly used polysulfone dialyzers in Switzerland. We performed an open-label, randomized, cross-over trial, including 25 hemodialysis patients. Four polysulfone dialyzers, A (Revaclear high-flux, Gambro, Stockholm, Sweden), B (Helixone high-flux, Fresenius), C (Xevonta high-flux, BBraun, Melsungen, Germany), and D (Helixone low-flux, Fresenius, Bad Homburg vor der Höhe, Germany), were compared. The hemodynamic profile was assessed and patients were asked to provide tolerance feedback. The mean score (±SD) subjectively assigned to dialysis quality on a 1-10 scale was A 8.4 ± 1.3, B 8.6 ± 1.3, C 8.5 ± 1.6, D 8.5 ± 1.5. Kt/V was A 1.58 ± 0.30, B 1.67 ± 0.33, C 1.62 ± 0.32, D 1.45 ± 0.31. The low- compared with the high-flux membranes, correlated to higher systolic (128.1 ± 13.1 vs. 125.6 ± 12.1 mmHg, P < 0.01) and diastolic (76.8 ± 8.7 vs. 75.3 ± 9.0 mmHg; P < 0.05) pressures, higher peripheral resistance (1.44 ± 0.19 vs. 1.40 ± 0.18 s × mmHg/mL; P < 0.05) and lower cardiac output (3.76 ± 0.62 vs. 3.82 ± 0.59 L/min; P < 0.05). Hypotension events (decrease in systolic blood pressure by >20 mmHg) were 70 with A, 87 with B, 73 with C, and 75 with D (P < 0.01 B vs. A, 0.05 B vs. C and 0.07 B vs. D). The low-flux membrane correlated to higher blood pressure levels compared with the high-flux ones. The Helixone high-flux membrane ensured the best efficiency. Unfortunately, the very same dialyzer correlated to a higher incidence of hypotensive episodes.