From dialysis to transplantation, illness experience and patients' concerns about future: A longitudinal qualitative study

Background: Transplantation is the treatment of choice when compared to dialysis. Long-term evolution of patients is rarely comprehensively described. Thirty end-stage renal disease patient's experience of illness was explored from registration for transplantation until twenty-four months after transplantation. Methods: Longitudinal semi-structured interviews were conducted, and qualitative discourse analysis performed. Findings: Before transplantation loss of quality of life (QOL), emotional fragility related to dialysis constraints were reported, and increased with waiting-time. Six months after transplantation, recovered freedom was described but acute rejection, and life-dependency to immunosuppressants generated concerns. After twelve months, long-term survival of the graft, and possible return-to-dialysis were mentioned. After twenty months graft's dysfunction, co-morbidities, immunosuppressants side effects rose concerns even though QOL persisted. Most patients report positive transformations after transplantation, which are related to graft survival and limited co-morbidities. Discussion: As time passes, patients deal with changing illness constraints, and contemplate with anxiety possible new return to dialysis and/or transplantation.

Europa als ulls dels Annales (1093-1933)

During this first third of this century, the continent of Europe witnessed far-reaching territorial transformations in the nineteenth century model. To some extent, the setting wich had inspired the epistemological structure of the French regional school was being replaced by one in which -at least to externa1 appearances- the relationship between the physical environment and human activities was much less evident. The adaptation of the theoretical and methodological context to the new Europe seems to take the form of a non-lineal evolution, for in the latter years of the period examined, evolutionary tendencies indicate a return to the more classical model. In this way, the growing interest which the publication had shown in Atlantic Europe and topics of a more economic nature, was truncated. The traditional settings --especially the Mediterranean- came to the fore again and interest in rural societies was renewed. Likewise, the monographic studies which had demonstrated distinct functional objectives in the midtwenties, recovered elements of ecological explanation, and the search for the relationship between environment and society

La flexibilité du temps de travail: entre autonomie et contraintes. Une étude de cas en Suisse.

Flexitime : between autonomy and constraints. A case study in SwitzerlandBy looking at how a new regulation is translated into everyday practices, this dissertation explores through a specific case study the degree of autonomy gained by wage-earners with the introduction of flexible working schedules. The guiding hypothesis is that by introducing procedural rules, flexitime opens the space for more daily negotiations, therefore reinforcing the effects of power relations inherent to employment relationships. The goal is to understand, through a sociological approach, how employees experience a form of working time that transfers responsibility for time management to them, and howthey integrate work-related constraints with their life outside the workplace. The first part of the dissertation sets up the context of the case study. It offers a definition of flexibility by situating it in the broader history of work time, as well as in relation to various organizational forms and cultural transformations. An international literature review and a focus on the Swiss case are offered. In the second part, the focus is narrowed to a specificSwiss firm specialized in mail-order, where a system of individualized management of annual work time has been introduced. By combining a quantitative and qualitative approach, it is possible to analyze determinants of the practices internal to the firm anddeterminants related to employees themselves, as well as the way in which employees articulate these two orders of constraints. The results show that the implementation of flexible working time is not affecting daily negotiation practices so much as it is creating a set of informal rules. The autonomy ofwage-earners is expressed first and foremost through their capacity to produce, negotiate, and legitimate these rules. The intraindividual level has proven to be central for the social regulation of flexible working time. It is not so much a question of legitimation, but rather the process of institutionalization nurtured by the energy invested by wage-earners in their personal quest for a compromise between their various roles, identities, and aspirations. It is this individualized regulation that is ensuring the success of the system under study.

Mekanismien dynamiikan simuloinnissa sovellettavia numeerisia- ja mallinnusmenetelmiä

Koneet voidaan usein jakaa osajärjestelmiin, joita ovat ohjaus- ja säätöjärjestelmät, voimaa tuottavat toimilaitteet ja voiman välittävät mekanismit. Eri osajärjestelmiä on simuloitu tietokoneavusteisesti jo usean vuosikymmenen ajan. Osajärjestelmien yhdistäminen on kuitenkin uudempi ilmiö. Usein esimerkiksi mekanismien mallinnuksessa toimilaitteen tuottama voimaon kuvattu vakiona, tai ajan funktiona muuttuvana voimana. Vastaavasti toimilaitteiden analysoinnissa mekanismin toimilaitteeseen välittämä kuormitus on kuvattu vakiovoimana, tai ajan funktiona työkiertoa kuvaavana kuormituksena. Kun osajärjestelmät on erotettu toisistaan, on niiden välistenvuorovaikutuksien tarkastelu erittäin epätarkkaa. Samoin osajärjestelmän vaikutuksen huomioiminen koko järjestelmän käyttäytymissä on hankalaa. Mekanismien dynamiikan mallinnukseen on kehitetty erityisesti tietokoneille soveltuvia numeerisia mallinnusmenetelmiä. Useimmat menetelmistä perustuvat Lagrangen menetelmään, joka mahdollistaa vapaasti valittaviin koordinaattimuuttujiin perustuvan mallinnuksen. Numeerista ratkaisun mahdollistamiseksi menetelmän avulla muodostettua differentiaali-algebraaliyhtälöryhmää joudutaan muokkaamaan esim. derivoimalla rajoiteyhtälöitä kahteen kertaan. Menetelmän alkuperäisessä numeerisissa ratkaisuissa kaikki mekanismia kuvaavat yleistetyt koordinaatit integroidaan jokaisella aika-askeleella. Tästä perusmenetelmästä johdetuissa menetelmissä riippumattomat yleistetyt koordinaatit joko integroidaan ja riippuvat koordinaatit ratkaistaan rajoiteyhtälöiden perusteella tai yhtälöryhmän kokoa pienennetään esim. käyttämällä nopeus- ja kiihtyvyysanalyyseissä eri kiertymäkoordinaatteja kuin asema-analyysissä. Useimmat integrointimenetelmät on alun perin tarkoitettu differentiaaliyhtälöiden (ODE) ratkaisuunjolloin yhtälöryhmään liitetyt niveliä kuvaavat algebraaliset rajoiteyhtälöt saattavat aiheuttaa ongelmia. Nivelrajoitteiden virheiden korjaus, stabilointi, on erittäin tärkeää mekanismien dynamiikan simuloinnin onnistumisen ja tulosten oikeellisuuden kannalta. Mallinnusmenetelmien johtamisessa käytetyn virtuaalisen työn periaatteen oletuksena nimittäin on, etteivät rajoitevoimat tee työtä, eli rajoitteiden vastaista siirtymää ei tapahdu. Varsinkaan monimutkaisten järjestelmien pidemmissä analyyseissä nivelrajoitteet eivät toteudu tarkasti. Tällöin järjestelmän energiatasapainoei toteudu ja järjestelmään muodostuu virtuaalista energiaa, joka rikkoo virtuaalisen työn periaatetta, Tästä syystä tulokset eivät enää pidäpaikkaansa. Tässä raportissa tarkastellaan erityyppisiä mallinnus- ja ratkaisumenetelmiä, ja vertaillaan niiden toimivuutta yksinkertaisten mekanismien numeerisessa ratkaisussa. Menetelmien toimivuutta tarkastellaan ratkaisun tehokkuuden, nivelrajoitteiden toteutumisen ja energiatasapainon säilymisen kannalta.

Wet Oxidation of Concentrated Wastewaters: Process Combination and Reaction Kinetic Modeling

The accumulation of aqueous pollutants is becoming a global problem. The search for suitable methods and/or combinations of water treatment processes is a task that can slow down and stop the process of water pollution. In this work, the method of wet oxidation was considered as an appropriate technique for the elimination of the impurities present in paper mill process waters. It has been shown that, when combined with traditional wastewater treatment processes, wet oxidation offers many advantages. The combination of coagulation and wet oxidation offers a new opportunity for the improvement of the quality of wastewater designated for discharge or recycling. First of all, the utilization of coagulated sludge via wet oxidation provides a conditioning process for the sludge, i.e. dewatering, which is rather difficult to carry out with untreated waste. Secondly, Fe2(SO4)3, which is employed earlier as a coagulant, transforms the conventional wet oxidation process into a catalytic one. The use of coagulation as the post-treatment for wet oxidation can offer the possibility of the brown hue that usually accompanies the partial oxidation to be reduced. As a result, the supernatant is less colored and also contains a rather low amount of Fe ions to beconsidered for recycling inside mills. The thickened part that consists of metal ions is then recycled back to the wet oxidation system. It was also observed that wet oxidation is favorable for the degradation of pitch substances (LWEs) and lignin that are present in the process waters of paper mills. Rather low operating temperatures are needed for wet oxidation in order to destruct LWEs. The oxidation in the alkaline media provides not only the faster elimination of pitch and lignin but also significantly improves the biodegradable characteristics of wastewater that contains lignin and pitch substances. During the course of the kinetic studies, a model, which can predict the enhancements of the biodegradability of wastewater, was elaborated. The model includes lumped concentrations suchas the chemical oxygen demand and biochemical oxygen demand and reflects a generalized reaction network of oxidative transformations. Later developments incorporated a new lump, the immediately available biochemical oxygen demand, which increased the fidelity of the predictions made by the model. Since changes in biodegradability occur simultaneously with the destruction of LWEs, an attempt was made to combine these two facts for modeling purposes.

Modeling dynamic behavior in tilting pad gas journal bearings

Thisresearch deals with the dynamic modeling of gas lubricated tilting pad journal bearings provided with spring supported pads, including experimental verification of the computation. On the basis of a mathematical model of a film bearing, a computer program has been developed, which can be used for the simulation of a special type of tilting pad gas journal bearing supported by a rotary spring under different loading conditions time dependently (transient running conditions due to geometry variations in time externally imposed). On the basis of literature, different transformations have been used in the model to achieve simpler calculation. The numerical simulation is used to solve a non-stationary case of a gasfilm. The simulation results were compared with literature results in a stationary case (steady running conditions) and they were found to be equal. In addition to this, comparisons were made with a number of stationary and non-stationary bearing tests, which were performed at Lappeenranta University of Technology using bearings designed with the simulation program. A study was also made using numerical simulation and literature to establish the influence of the different bearing parameters on the stability of the bearing. Comparison work was done with literature on tilting pad gas bearings. This bearing type is rarely used. One literature reference has studied the same bearing type as that used in LUT. A new design of tilting pad gas bearing is introduced. It is based on a stainless steel body and electron beam welding of the bearing parts. It has good operation characteristics and is easier to tune and faster to manufacture than traditional constructions. It is also suitable for large serial production.

La dimensió social del moviment priscil·lianista en el context de l'antiguitat tardana. Heretgia, lluita contra la institucionalització eclesiàstica i contestació social.

L'any 385, Priscil·lià i la resta del grup priscil·lianista era condemnat a la ciutat de Trèveris i, fruit de la ingerència determinant de l'usurpador Magne Màxim, es convertia en el primer heretge ajusticiat pel poder secular en nom de l'Església. Els fets de Trèveris, per bé que van significar el final de la disputa entre dos grups amb posicions antagòniques vers les característiques del nou cristianisme institucionalitzat, no van aconseguir acabar amb el priscil·lianisme. El moviment perdurà, especialment a la província de la Gallaecia, i Priscil·lià va esdevenir venerat com màrtir. L'Església, mentrestant, es fracturava per culpa de la competència jurisdiccional entre la institució clerical i el poder imperial. Aquest treball intenta ser un estat de la qüestió respecte a la dimensió social d'un moviment que, més enllà de l'eterna discussió entre la seva possible catalogació com a ortodòxia o heterodòxia, intenta contextualitzar el priscil·lianisme en el seu marc històric i els convulsos anys de les transformacions de l'antiguitat tardana.

Políticas públicas y sustentabilidad en las zonas desfavorecidas y de montaña en España

El presente trabajo aborda una visión global de la acción pública en los espacios que, en principio, han sido oficial o/y institucionalmente definidos como zonas desfavorecidas o zonas de montaña en España. Territorios, básicamente rurales, que en España muestran un notable grado de heterogeneidad en cuanto a sus estructuras económicas, sociales y culturales, además de caracterizarse por unas estructuras ecológicas igualmente dispares. Esta realidad poliédrica en los últimos años se está viendo condicionada por cuatro factores: las transformaciones internas del sector agroalimentario; los cambios en la organización espacial de la actividad y de la población que son consecuencia de la reestructuración del capitalismo; por las nuevas funciones socioeconómicas, socioculturales y medioambientales que desempeñan estos espacios; y, por el impacto, a veces contradictorio, de las diversas políticas que se implementan sobre ellos, y que se desenvuelven, cada vez más nítidamente, bajo el paradigma del desarrollo sostenible institucional.

Le renouveau du mercenariat entrepreneurial: symbole d'un État en déclin ?

L'émergence du mercenariat entrepreneurial, et plus précisément les Sociétés Militaires et Sécuritaires Privées, fait depuis plus d'une décennie l'objet de nombreuses recherches, ouvrages et reportages. L'intervention des États-Unis en Afghanistan et en Irak constitue un tournant pour le mercenariat entrepreneurial, puisqu'en fin 2007, et ce pour la première fois dans l'histoire moderne, les contractors privés ont dépassé le nombre de troupes régulières. La fin de la guerre froide et des armées de masse, la complexification technologique, ou encore les difficultés financières des États, facteurs très souvent mis en avant pour expliquer le renouveau du mercenariat entrepreneurial sont certes des facteurs explicatifs, mais ne peuvent rendre compte à eux seuls ce phénomène. Ce travail replace tout d'abord le mercenariat dans son contexte historique en analysant quatre périodes distinctes : la guerre de Cents Ans et les Grandes compagnies ; les condottieri de la péninsule italienne ; la guerre de Trente Ans ; les compagnies marchandes. En effet, le mercenariat est intimement lié au processus de construction étatique et à son acquisition progressive du monopole de la violence légitime. Dans un deuxième temps, le processus historique du renouveau du mercenariat durant le XXème siècle est abordé. Deux changements structurels - l'avènement d'un capitalisme financier transnational et les transformations du système capitaliste dès les années 1970, et l'émergence puis la domination de la norme néolibérale dès la fin de la guerre froide - ont permis de rendre réalisable la délégation de services sécuritaires et militaires à des acteurs privés. Désormais en train de lutter pour maintenir sa position, l'État tend à devenir de plus en plus dépendant de services qu'il peine pourtant à contrôler efficacement.

Análisis discursivo de las actitudes lingüísticas de los escolares de origen inmigrante en Cataluña

La continua llegada de población inmigrante a los países de la Europa Occidental está produciendo transformaciones en estas sociedades. Evidentemente, la sociedad catalana no es ajena a estos cambios y, año tras año, ve incrementado el número de recién llegados/ as procedentes de orígenes geográficos, culturales y lingüísticos muy diversos. Estas personas, en ocasiones sin un conocimiento previo, se encuentran con las peculiaridades socioculturales y lingüísticas de la sociedad receptora. En el caso de Cataluña, nos interesa destacar la cuestión lingüística, a la cual se han dedicado muchos esfuerzos durante los últimos años en un intento de acercarse a una situación de normalidad en lo referente al conocimiento y uso de la lengua catalana. En el presente artículo se presentan los principales resultados de una investigación centrada en el análisis de los discursos sobre los que anclan las actitudes lingüísticas de los escolares de origen inmigrante en Cataluña. La técnica de investigación social utilizada ha sido la entrevista en profundidad semidirigida, realizando el análisis del contenido de las mismas a partir del «Análisis de contenido temático basado en categorías» (Bardin, 1986). Las conclusiones más relevantes indican que, por encima del Área de Origen o la Condición Lingüística Familiar, la principal variable que permite articular los discursos detectados es la que se puede denominar «Satisfacción y Percepción de Valoración e Integración Escolar y Social», de tal manera que los jóvenes de origen inmigrante que se sienten más valorados e integrados escolar y socialmente desarrollan mejores actitudes hacia la lengua catalana y castellana. Este hecho tiene claras repercusiones respecto las generalizaciones reduccionistas y estereotipadas que vinculan un área de origen con unas determinadas actitudes hacia las lenguas oficiales en Cataluña, así como de cara a la política lingüística y las ideologías lingüísticas de la sociedad en general.

Facing the broader dimensions of biological invasions

Invasive species are an excellent opportunity to think about the nature society desires, particularly in the face of global changes. Nature and human views of nature are rapidly evolving; our approach to bio- logical invasions through biosecurity institutions and land management policies must evolve in tandem with these changes. We review three dimensions that are insufficiently addressed. First, biological inva- sions are culturally shaped and interpreted. Humans play a major role in the movement and nurturing of alien life, and esthetics, perception, and emotion are deeply implicated in the management of invasive species. What people fear or regret with invasive species are not their effects on nature per se, but their effects on a particular desired nature, and policymaking must reflect this. Second, biological invasions are not restricted to negative impacts. Invasions take place in landscapes where many natural condi- tions have been altered, so policy tools must recognize that invasive species are a functional, structural, and compositional part of transformed ecosystems. In some cases, native species benefit from changes in resource availability caused by invasions or from protections provided by an invasive plant. Finally, invasive species can help ecosystems and people to adapt to global change by maintaining ecosystem processes such as productivity, carbon storage, and nutrient cycling in a context of climate change or land cover transformations. While recognition is growing among ecologists that novel, invaded ecosystems have value, and while the on-the-ground application of biosecurity policies has of necessity adjusted to local contexts and other agendas, invasion biology could aid policymaking by better addressing the three complexities inherent in the three dimensions highlighted above.

El naixement d'un vilar medieval: Moredell (Gironès) en època carolíngia

This is the description of the birth, development and transformations of a small rural community in carolingian epoch through the written documentation and the analysis of the landscape.

Extreme-value distributions and renormalization group

In the classical theorems of extreme value theory the limits of suitably rescaled maxima of sequences of independent, identically distributed random variables are studied. The vast majority of the literature on the subject deals with affine normalization. We argue that more general normalizations are natural from a mathematical and physical point of view and work them out. The problem is approached using the language of renormalization-group transformations in the space of probability densities. The limit distributions are fixed points of the transformation and the study of its differential around them allows a local analysis of the domains of attraction and the computation of finite-size corrections.