Everybody Farts: Celebrating the Body and Refuting Medical Paternalism in Joyce's Ulysses

James Joyce’s Ulysses celebrates all facets of daily life in its refusal to censor raw human emotions and emissions. He adopts a critically medical perspective to portray this honest, unfiltered narrative. In doing so, he reveals the ineffectiveness of the physician-patient relationship due to doctors’ paternalistic attitudes that hinder nonjudgmental, open listening of this unfiltered narrative. His exploration of the doctor’s moral scrutiny, cultural prejudices, and authoritative estrangement from the patient underscore the importance in remembering that physicians and patients alike are ultimately just fellow human beings. Wryly, he drives this point to literal nausea, as his narrative proudly asserts the revulsive details of public health, digestion, and death. In his gritty ruminations on the human body’s material reality, Joyce mocks the physician’s highbrow paternalism by forcing him to identify with the farting, vomiting, decaying bodies around him. In celebrating the uncensored human narrative, Joyce challenges physician and patient alike to openly listen to the stories of others.

Condições de trabalho e saúde dos trabalhadores de enfermagem que atuam em clínica médica

Trata-se de um estudo descritivo cujo objeto é a saúde dos trabalhadores de enfermagem e sua relação com as condições de trabalho em enfermarias de clínica médica, desenvolvido em um Hospital Universitário na cidade do Rio de Janeiro. Os objetivos orientaram para: caracterizar o perfil profissional dos trabalhadores de enfermagem; identificar, na perspectiva dos trabalhadores de enfermagem, as condições de trabalho e os fatores de risco à saúde existentes nas enfermarias de clínica médica; analisar os problemas de saúde identificados pelo trabalhador de enfermagem e a sua relação com as condições de trabalho por ele descrita em enfermarias de clínica médica. A pesquisa foi realizada no período de 2004 a 2005. O referencial teórico fundamentou-se nos estudos de especialistas das áreas de ergonomia, saúde do trabalhador e riscos no trabalho de enfermagem. A população foi de 41 trabalhadores de enfermagem que atuam nas unidades especializadas de clínica médica, sendo 73,2% de servidores públicos e 26,8% de prestadores de serviço temporário e bolsistas; a faixa etária predominante é de 40 a 49 anos; 73% são do sexo feminino; 90% com dupla e tripla jornada, com carga horária semanal de mais de 50 horas. Os riscos ocupacionais percebidos foram: manutenção de posturas inadequadas, esforço físico que produz fadiga, ritmo de trabalho acelerado, manipulação de cargas pesadas, risco de contrair infecção, temperatura inadequada, falta de materiais e insumos e iluminação insuficiente. Os problemas de saúde relacionados com as condições de trabalho foram: distúrbios osteomusculares, varizes e estresse. Os trabalhadores se interessam pela prevenção de riscos ocupacionais, porém não participam na instituição, da elaboração das políticas e estratégias na área de saúde do trabalhador. Com os resultados deste estudo e o respaldo da literatura, pode-se concluir que os problemas de saúde e condições de trabalho estão inter-relacionados; que a carga horária excessiva devido a dupla e tripla jornada, acrescido do cuidado com os filhos, idosos e afazeres domésticos, sem a prática regular de cuidados com sua saúde, tornam esses sujeitos mais vulneráveis a problemas de saúde.

A common axiom for classical division rules for claims problems

In this paper we introduce a new axiom, denoted claims separability, that is satisfied by several classical division rules defined for claims problems. We characterize axiomatically the entire family of division rules that satisfy this new axiom. In addition, employing claims separability, we characterize the minimal overlap rule, given by O'Neill (1982), Piniles rule and the rules in the TAL-family, introduced by Moreno-Ternero and Villar (2006), which includes the uniform gains rule, the uniform losses rule and the Talmud rule.

Eigenvalue problems associated with Korn's inequalities in the theory of elasticity

Interest in the possible applications of a priori inequalities in linear elasticity theory motivated the present investigation. Korn's inequality under various side conditions is considered, with emphasis on the Korn's constant. In the "second case" of Korn's inequality, a variational approach leads to an eigenvalue problem; it is shown that, for simply-connected two-dimensional regions, the problem of determining the spectrum of this eigenvalue problem is equivalent to finding the values of Poisson's ratio for which the displacement boundary-value problem of linear homogeneous isotropic elastostatics has a non-unique solution.

Previous work on the uniqueness and non-uniqueness issue for the latter problem is examined and the results applied to the spectrum of the Korn eigenvalue problem. In this way, further information on the Korn constant for general regions is obtained.

A generalization of the "main case" of Korn's inequality is introduced and the associated eigenvalue problem is a gain related to the displacement boundary-value problem of linear elastostatics in two dimensions.

Fast numerical methods for mixed, singular Helmholtz boundary value problems and Laplace eigenvalue problems - with applications to antenna design, sloshing, electromagnetic scattering and spectral geometry

This thesis presents a novel class of algorithms for the solution of scattering and eigenvalue problems on general two-dimensional domains under a variety of boundary conditions, including non-smooth domains and certain "Zaremba" boundary conditions - for which Dirichlet and Neumann conditions are specified on various portions of the domain boundary. The theoretical basis of the methods for the Zaremba problems on smooth domains concern detailed information, which is put forth for the first time in this thesis, about the singularity structure of solutions of the Laplace operator under boundary conditions of Zaremba type. The new methods, which are based on use of Green functions and integral equations, incorporate a number of algorithmic innovations, including a fast and robust eigenvalue-search algorithm, use of the Fourier Continuation method for regularization of all smooth-domain Zaremba singularities, and newly derived quadrature rules which give rise to high-order convergence even around singular points for the Zaremba problem. The resulting algorithms enjoy high-order convergence, and they can tackle a variety of elliptic problems under general boundary conditions, including, for example, eigenvalue problems, scattering problems, and, in particular, eigenfunction expansion for time-domain problems in non-separable physical domains with mixed boundary conditions.

On the optimal usage of labelled examples in semi-supervised multi-class classification problems

In recent years, the performance of semi-supervised learning has been theoretically investigated. However, most of this theoretical development has focussed on binary classification problems. In this paper, we take it a step further by extending the work of Castelli and Cover [1] [2] to the multi-class paradigm. Particularly, we consider the key problem in semi-supervised learning of classifying an unseen instance x into one of K different classes, using a training dataset sampled from a mixture density distribution and composed of l labelled records and u unlabelled examples. Even under the assumption of identifiability of the mixture and having infinite unlabelled examples, labelled records are needed to determine the K decision regions. Therefore, in this paper, we first investigate the minimum number of labelled examples needed to accomplish that task. Then, we propose an optimal multi-class learning algorithm which is a generalisation of the optimal procedure proposed in the literature for binary problems. Finally, we make use of this generalisation to study the probability of error when the binary class constraint is relaxed.

A potential approach to claims problems

Hart and Mas Colell (1989) introduce the potential function for cooperative TU games. In this paper, we extend this approach to claims problems, also known as bankruptcy or rationing problems. We show that for appropriate subproblems, the random arrival rule, the rules in the TAL-family (which include the uniform gains rule, the uniform losses rule and the Talmud rule), the minimal overlap rule, and the proportional rule admit a potential. We also study the balanced contributions property for these rules. By means of a potential, we introduce a generalization of the random arrival rule and mixtures of the minimal overlap rule and the uniform losses rule.

On the uniqueness of singular solutions to boundary-initial value problems in linear elastodynamics

This investigation deals with certain generalizations of the classical uniqueness theorem for the second boundary-initial value problem in the linearized dynamical theory of not necessarily homogeneous nor isotropic elastic solids. First, the regularity assumptions underlying the foregoing theorem are relaxed by admitting stress fields with suitably restricted finite jump discontinuities. Such singularities are familiar from known solutions to dynamical elasticity problems involving discontinuous surface tractions or non-matching boundary and initial conditions. The proof of the appropriate uniqueness theorem given here rests on a generalization of the usual energy identity to the class of singular elastodynamic fields under consideration.

Following this extension of the conventional uniqueness theorem, we turn to a further relaxation of the customary smoothness hypotheses and allow the displacement field to be differentiable merely in a generalized sense, thereby admitting stress fields with square-integrable unbounded local singularities, such as those encountered in the presence of focusing of elastic waves. A statement of the traction problem applicable in these pathological circumstances necessitates the introduction of "weak solutions'' to the field equations that are accompanied by correspondingly weakened boundary and initial conditions. A uniqueness theorem pertaining to this weak formulation is then proved through an adaptation of an argument used by O. Ladyzhenskaya in connection with the first boundary-initial value problem for a second-order hyperbolic equation in a single dependent variable. Moreover, the second uniqueness theorem thus obtained contains, as a special case, a slight modification of the previously established uniqueness theorem covering solutions that exhibit only finite stress-discontinuities.

Applications of plasticity theory to selected problems in soil mechanics

Two topics in plane strain perfect plasticity are studied using the method of characteristics. The first is the steady-state indentation of an infinite medium by either a rigid wedge having a triangular cross section or a smooth plate inclined to the direction of motion. Solutions are exact and results include deformation patterns and forces of resistance; the latter are also applicable for the case of incipient failure. Experiments on sharp wedges in clay, where forces and deformations are recorded, showed a good agreement with the mechanism of cutting assumed by the theory; on the other hand the indentation process for blunt wedges transforms into that of compression with a rigid part of clay moving with the wedge. Finite element solutions, for a bilinear material model, were obtained to establish a correspondence between the response of the plane strain wedge and its axi-symmetric counterpart, the cone. Results of the study afford a better understanding of the process of indentation of soils by penetrometers and piles as well as the mechanism of failure of deep foundations (piles and anchor plates).

The second topic concerns the plane strain steady-state free rolling of a rigid roller on clays. The problem is solved approximately for small loads by getting the exact solution of two problems that encompass the one of interest; the first is a steady-state with a geometry that approximates the one of the roller and the second is an instantaneous solution of the rolling process but is not a steady-state. Deformations and rolling resistance are derived. When compared with existing empirical formulae the latter was found to agree closely.

A mudança organizacional em um estabelecimento de saúde: um estudo da preparação para acreditação

Esse estudo teve por objetivo analisar as dinâmicas de mudanças organizacionais transcorridas em um estabelecimento de saúde. Conduzido através metodologia de estudo de caso descritivo, teve como campo de pesquisa o Instituto de Hematologia do Estado do Rio de Janeiro. Buscando conhecer o papel da preparação para acreditação na dinâmica da mudança em uma organização de saúde essa pesquisa foi assim estruturada: abordagem dos problemas encontrados nas mudanças organizacionais em estabelecimentos de saúde; quadro teórico estruturado com uma revisão de literatura; embasamento da metodologia aplicada, com definição de instrumentos de coletas de dados, de material e atores implicados no levantamento para realização da análise qualitativa. O estudo analisou as seguintes variáveis: a natureza da mudança focalizando a extensão, ritmo e trajetória; as estratégias de ação, contemplando as situações de adesões e resistência e a concepção, verificando se as mudanças foram indutivas ou dedutivas. O resultado demonstrou que a preparação para acreditação naquele hospital, proporcionou mudanças com movimentos lentos, mas com continuidade em todos os setores do estabelecimento. Foi identificada participação mais ativa de um grupo de profissionais identificados como facilitadores, funcionando como multiplicadores. A abrangência das estratégias aplicadas foram desde as reuniões em assembléias gerais, á formação de grupos de estudo por setores para entendimento do manual de padrões de acreditação. Foram realizados processos internos de auto-avaliação com base no manual de acreditação. Em relação á concepção, o processo de mudança foi motivado pela determinação da direção do hospital para obtenção do certificado de acreditação internacional. Quanto á resistência e adesão, o estudo demonstrou que a participação de uma grande maioria dos profissionais foi motivada pelo desejo de aprender e desenvolver novas práticas que proporcionasse a melhoria da qualidade da assistência. A análise de dados aponta certa resistência da categoria médica no início do processo. Do ponto de vista organizacional, foram criadas novas estruturas. A conclusão do estudo: O processo de preparação para acreditação na unidade de saúde estudada demonstrou ser um instrumento capaz de promover mudanças em organizações de saúde.