[pt] Eu desenvolvo um modelo de gerações sobrepostas com crescimento salarial ao longo do ciclo de vida (LCWP, por sua sigla em inglês), taxa de mortalidade dependente da idade, restrições de liquidez e rigidez nominal. O modelo é calibrado para capturar a transição demográfica dos EUA, estimativas de LCWP e outras características importantes da economia dos EUA durante o período 3;72-4239. O modelo é usado para examinar a relação entre dados demográficos e taxas de juros reais assim como os principais mecanismos de transmissão em jogo. Eu encontro que o rápido aumento da população em idade ativa entre 3;72 e 3;:2 contribuiu significativamente para o aumento das taxas de juros reais. A reversão desse processo, juntamente com o aumento da expectativa de vida, desencadeou um rápido declínio nas taxas de juros desde então. A heterogeneidade na propensão marginal a consumir entre os trabalhadores desempenha um papel importante na conexão desses movimentos de fertilidade e taxa de juros real. Num exercício adicional, devido à evidência de grandes erros de previsão da expectativa de vida, eu estendo o modelo com um processo de aprendizado sobre longevidade e encontro que ele pode aumentar significativamente a relevância de fatores demográficos na explicação dos movimentos reais das taxas de juros. Por fim, encontro que a falha dos bancos centrais em levar em conta a relação entre dados demográficos e taxas de juros pode gerar, devido a mudanças não monitoradas na taxa de juros natural, variações na taxa de inflação. / [en] I develop an overlapping generations model with life cycle wage profile (LCWP), age-dependent mortality rate, liquidity constraints, and nominal rigidities. The model is calibrated to capture US demographic transition, LCWP estimations, and other salient features of the US economy during 3;72-4239. The model is then used to examine the relationship between demographics and real interest rates and the main transmission mechanisms in play. I find that the rapid increase in the working age population from 3;72-3;:2s has significantly contributed to the rise of real interest rates. The reversion of this process together with the increase in life expectancy triggered a rapid decline in the interest rates ever since. The heterogeneity in the marginal propensity to consume among workers plays a major role in connecting these fertility and real interest rate movements. In an additional exercise, due to the evidence on large life expectancy forecast errors, I introduce a learning process about longevity and find that it can significantly a ugment t he r elevance o f d emographic f actors in explaining real interest rate movements. Finally, I find t hat t he central banks failure to recognize the relationship between demographics and interest rates can generate, due to unaccounted changes in the natural interest rate, inflation rate variations.

The EU waste hierarchy includes energy recovery facilities where waste is used as fuel in combined heat- and powerplants. When waste is incinerated can the thermal energy be used in for example, district heating networks and or electricity generation. The purpose of the degree project is to make a pre-study of Heat Management's system solution HISS, optimization of steam soot blowing at Mälarenergi's waste boiler. Waste is a heterogeneous fuel that typically contains a variety of substances such as alkali, chlorine and heavy metals that often contribute to fouling on heat transfer surfaces. These coatings reduce the efficiency of heat transferring surfaces such as superheaters. Cleaning by soot blowing using steam is done at regular intervals to maintain efficiency. Superheater cleaning on the Block 6 is done by retractable rotating soot blowers equipped with a nozzle from where steam is sprayed out at pressure of 25 bar. The blowers are inserted one at a time in a sequence, which means that they wait for the previous blower before the next one can enter. Steam is taken from the main process, which leads to reduction in load on the turbine and causes wear during the sweeping process due to the high impact force. This can lead to erosive damage and thinning of the material on the tubes, thus shortening the lifespan of the superheaters. The optimisation adjusts the soot sequence so that full steam pressure is used only in one direction of travel of the lance, this allows an overlapping soot sequence to be used and thus halves the time required for sooting. Analysis of shorter sooting time and reduced steam consumption based on production data and case studies has led to the following results. The energy consumption of the auxiliary power is reduced by 14.25 MWh per sweeping sequence and 7 115.5 MWh annually. The turbine can produce 2.51 MWh more electricity per sweeping as the time it runs at reduced load is reduced, totalling 1 254.39 MWh in one year. 24.03 tonnes of steam are saved per sweeping and 12 003 tonnes in one year. Payback time for the optimisation is 1.01 years based on an average spot price from Mälarenergi's budgeting from last year. Considering current electricity prices could the payback time be further reduced. The conclusion from the pre-study is that the optimisation as the investment is economically viable and has other positive benefits such as: steadier steam flow and reduced pressure surges. Wear and tear on superheaters are reduced as they are only sprayed with high pressure once instead of twice per sweeping sequence. / I EU:s avfallshierarki ingår energiåtervinningsanläggningar där avfall används som bränsle i förbränningsanläggningar. Vid förbränning utav avfall så kan den utvunna termiska energin användas exempelvis i fjärrvärmenät och- eller generering utav el. Examensarbetets syfte är att göra en förstudie på Heat managements systemlösning HISS, optimering utav ångsotning på Block 6 som är Mälarenergis avfallspanna. Avfall är ett heterogent bränsle som typiskt innehåller en mängd olika ämnen som alkali, klor och tungmetaller som ofta bidrar till att beläggningar bildas på värmeöverförningsytor. Dessa beläggningar försämrar ytors värmeöverförningsverkningsgrad på till exempel överhettare. Rengöring i form av ångsotning görs i jämna intervall för att hålla verkningsgraden uppe. Sotning av överhettare på Block 6 skes av en utdragbar, roterande sotlans utrustad med en dysa där ånga sprutas ut med 25 bars tryck. Lansarna körs in en åt gången i en sekvens vilket innebär att dem väntar på föregående lans innan nästa kan köras. Ångan som används tas från huvudprocessen vilket medför reducerad last på turbinen och dessutom uppstår slitage vid sotningen ty den höga anslagskraften. Detta kan leda till erosiva skador och förtunning utav godset på tuberna och således förkortas livslängden på överhettarna. Optimeringen justerar sot sekvensen så att fullt ångtryck används bara i ena färdriktningen av lansen, detta möjliggör att en överlappande sotsekvens kan användas och på så vis halveras tidsåtgången för sotningen. Analysen utav kortare sottidsåtgång samt minskad ångförbrukning baserat på produktionsdata hämtad från styrsystemet 800xA samt fallstudier har mynnat ut i följande resultat. Hjälpkraftens energianvändning minskas med 14,25 MWh per sotningssekvens och årligen 7 115,5 MWh. Turbinen kan producera 2,51 MWh mer el vid varje sotning då tiden som den körs med reducerad last blir kortare, totalt på ett år blir det 1 254,39 MWh. Vid varje sotning sparas 24,03 ton ånga och på ett år 12 003 ton. Återbetalningstiden för optimeringen blir 1,01 år baserat på ett medelspotpris från Mälarenergis budgetering från förra året. Med hänsyn till dagens elpriser förkortas återbetalningstiden ytterligare.   Förstudien rekommenderar optimeringen då dels är investeringen lönsam rent ekonomiskt, dels medför den andra positiva fördelar. Optimeringen med överlappande sotning skapar ett jämnare ångflöde, det reducerar tryckstötar som är skadliga. Slitage på överhettartuber minskas då dem bara besprutas med högt tryck en gång i stället för två gånger per sotningssekvens. Behovsstyrd sotning skulle kunna implementeras upp till 3 gånger per dygn utan att det skulle kosta mer mot dagsläget där man stora 1,5 gånger per dygn.

Caryl Churchill, the most widely performed female dramatist in contemporary British theatre, is a playwright preoccupied with the dissection of the traditional relations of power. She challenges social and dramatic conventions through her innovative exploration of the male gaze, the objectification of women, the performativity of gender, and women as objects of exchange within a masculine economy. In so doing, Churchill locates her concerns in the area of `materialism and gender'. Churchill explicates a socialist-feminist position by pointing directly at the failure of liberal feminism. The lack of a sense of community among women, highlighted by Churchill's portrayal of women such as Marlene in `Top Girls', forms a critical aspect of Churchill's work. Her drama re-iterates how meaningful change is impossible while women continue to oppress one another, and while economic structures perpetuate patriarchy. Altered consciousness, aligned to socio-political re-structuring, is necessary for both the oppressors and the oppressed, in a society where too much emphasis has been placed on individualism. The outspoken hope for a transgression of the conventional processes of identification and other omnipresent, oppressive socio-political phenomena, is a strong aspect of Churchill's work. Her plays reveal how signs create reality rather than reflect it, and she uses Brechtian-based distancing methods to induce a critical examination of gendered relations. Time-shifting, overlapping dialogue, doubling and cross-casting are used by Churchill to manipulate the sign-systems of the dominant order. Cross-gender casting, Churchill's most widely reviewed dramatic device, is employed to destabilise fixed sexual identities determined by dominant heterosexual ideology. She calls into question the traditional sign `Woman' - which is constructed by and for the male gaze - and addresses the marginality of the female experience in a non-linear framework. Although dealing with serious issues, Churchill's plays are often executed in a style that is at once amusing and thought-provoking to exclude the possibility of didacticism. With her skilful use of language and innovative techniques as her highly effective instruments, Churchill accomplishes her broader purpose with originality. In its originality and complexity, her drama is in itself a `new possibility' for different forms. / English Studies / M. A. (English)

This thesis operates, unashamedly, from the premise that every act of criticism involves a self-reflexive gesture of one's own concerns and ideological imprintings. For this reason Chapter One establishes the writer's own involvement - both autobiographical and theoretical - in notions of male rage and the 'working through' of these concerns. Chapter Two conducts an overview of male rage and the extant systemic literature on the subject. It sets out the various positions on the subject and posits the importance of gender (over generation) in the praxis of therapy. Furthermore, it explores the possibility that the male is equally, but differently, troubled by the hegemonic forces of patriarchy as is the woman. Without diminishing the legitimacy of the woman's experience in the face of male rage, the argument is forwarded that the male is caught in a similar struggle but without the feminine articulatory resources. This chapter details the lack of male power in the face of his supposed muscular omnipotence. Seminal analytic approaches to the question of gender are raised in Chapter Three. Working through Freud, Klein, Lacan and Masters and Johnson an attempt is made to plot the 'evolution' of the feminine and the masculine. Central to this debate is the bi-polarization of gender relations within the same sex (biology/construction) and without (phallic/vaginal, clitoral, passive/active). What emerges is that femininity is bi-focal and that the woman has more resources at her disposal that hitherto acknowledged. While the woman is always double - as both clitoral and vaginal, as lover and mother- it appears that male sexuality is far more precarious than generally perceived. It is this dis-ease on the part of the male that translates itself into envy and, with it, the need to denigrate and belittle woman as the object of that envy. In Chapter 4 an attempt is made to overlap the seemingly divergent fields of analytic and systemic methodologies via the involvement of the therapist in the eco-system of analysis. The substantial role of the therapist -- and the coercive forces placed on him/her by the couple -- is used to modify Elkaim's model and to introduce the need for a telling of the particular stories that concentrate on the unique narratives of the warring couple rather than the patriarchal regime under which these stories are constrained. Before encountering these narratives an essay is made at establishing a methodology of sorts. Newton's scientific formulations are used in order to question the binary opposition that has been, historically, established between quantitative (male) and qualitative (female) methodologies. In the process of questioning this binary opposition it becomes clear that any form of objectifying approach constitutes a refuge from the messiness that is intrinsic to the therapeutic process. The experimental methodology that is posited is precisely one that engages in the narratives of male violence - four extracts are considered, each exposing different articulations of male violence. The question of female subjectivity (and the attendant power of the sorority) is returned to in light of these stories. Central to this section is the notion that male subjectivity is far more convoluted - perhaps more that the feminine counterpart - than initially conceived. The original identification with the (m)other forever displaces him in that the later identification with the father remains distant and contrived. For the purposes of maintaining the dialogic nature of this work, a feminist appraisal of the rage narratives concludes the thesis. Don Quixote is used, by way of an Epilogue, to offer three representations of male subjectivity and to look towards alternative subject positions for the male under patriarchy. / Psychology / D.Litt. et Phil. (Psychology)

Thesis (PhD)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: In this dissertation a new type of electrical machine, a Radial Flux Air-Cored Permanent Magnet machine with a Double-sided Rotor and utilising concentrated, non-overlapping windings, is proposed. The concept of the Double-sided Rotor Radial Flux Air-Cored Permanent Magnet machine, or RFAPM machine for short, was derived from the Double-sided Rotor Axial Flux Air-Cored Permanent Magnet (AFAPM) machine. One of the problems that AFAPM machines experience, is the deflection of the rotor discs due to the strong magnetic pull of the permanent magnets, especially with double-sided rotor machines. The main advantage of a RFAPM machine over a AFAPM machine is that the rotor back-iron is cylindrically shaped instead of disk shaped. Due to the structural integrity of a cylinder, the attraction force between the two rotors does not come into play any more. The focus of this dissertation is on a thorough analytical analysis of the Double-Sided Rotor RFAPM machine. With the RFAPM being an air-cored machine, the feasibility to develop a linear, analytical model, to accurately predict the radial flux-density and hence the induced EMF in the stator windings, as well as the accurate calculation of the developed torque of the machine, needed to be investigated. The need for a thorough analytical examination of the Double-Sided Rotor RFAPM machine stemmed from the need to reduce the blind reliance on Finite Element Modelling (FEM) software to calculate the back-EMF and torque produced by these machines. Another problem experienced with the FEM software was to obtain accurate torque results. Excessive ripple torque oscillations were sometimes experienced which took a considerable amount of time to minimise with constant refinement to the meshing of the machine parts. Reduction in the mesh element size unfortunately also added to the simulation time. The requirement for an accurate analytical model of the RFAPM machine was also necessary in order to reduce the amount of time spent on successive FEM simulation to obtain the optimum pole arc width of the permanent magnet in order to minimise the harmonic content of the radial flux-density distribution in the the stator windings. In this dissertation, the use of single-layer and double-layer, non-overlapping, concentrated winding for the RFAPM machine is also investigated. It was decided to include a comparison of these two non-overlapping winding configurations with a “hypothetical” concentrated, overlapping winding configuration. This would allow us to gauge the effectiveness of using nonoverlapping winding with respect to the reduction in copper losses as well as in the reduction in copper volume. It would also allow us to investigate the extent of how much the developed torque is affected by using non-overlapping windings instead of overlapping windings. / AFRIKAANSE OPSOMMING: In hierdie proefskrif word ’n nuwe tipe elektriese masjien, ’n Radiale-vloed Lugkern Permanent Magneet Masjien met ’n dubbelkantige rotor en nie-oorvleuelende Windings voorgestel. Die konsep vir die Radiale-vloed Lugkern Permanent Magneet Masjien, of RVLPM vir kort, is afgelei vanaf die Dubbelkantige Rotor, Aksiale-vloed Lugkern (AVLPM) masjien. Een van die probleme wat met AVLPM masjiene ondervind word, is die defleksie van die rotorjukke as gevolg van die sterk aantrekkingskragte van die permanente magnete, veral in dubbelkantige rotor masjiene. Die hoof voordeel wat die RVLPM masjien inhou bo die AVLPM masjien, is die feit dat die RVLPM se rotorjukke silindries is in plaas van ronde skywe. As gevolg van die strukturele integriteit van ’n silinders, speel die aantrekkingskrag van die permanente magnete nie meer ’n rol nie. Die fokus van die proefskrif gaan oor die deeglike analitiese analise van die dubbelkantige RVLPM masjien. Weens die feit dat die RVLPM masjien ’n lugkern masjien is, is daar besluit om ondersoek in te stel na die moontlikheid om ’n lineêre, analitiese model vir die masjien op te stel waarmee die radiale-vloeddigtheid, teen-EMK asook die ontwikkelde draaimoment vir die masjien akkuraat bereken kan word. Die behoefde aan ’n akkurate analitiese model vir die dubbelkantige rotor RVLPM masjien is om die blinde vertroue te elimineer wat daar in Eindige-Element Modellering (EEM) sagteware gestel word om die teen-EMK en ontwikkelde draaimoment van die RVLPM masjien uit te werk. ’n Verdere probleem wat daar met EEM sagteware ondervind is, is die akkurate berekening van die ontwikkelde draaimoment. Oormatige rimpel draaimoment ossillasies is soms ondervind wat heelwat tyd geverg het om te minimeer, deur voortdurende verfyning van die EEM maas in die verskillende dele van die masjien. Soos die maas egter kleiner word, verleng dit die simulasie tyd van die EEM aansienlik. Nog ’n rede vir ’n akkurate analitiese model van die RVLPM masjien, is om vinnige metode te verkry om die optimale permanente magneet pool hoekwydte te verkry, wat die minste Totale Harmoniese Vervorming (THV) in die radiale-vloeddigtheidsdistribusie in die statorgebied sal veroorsaak, sonder om herhaaldelike EEM simulasies te loop. In die proefskrif word die gebruik van enkellaag en dubbellaag, nie- oorvleuelende, gekonsentreerde wikkelings vir die RVLPM masjien ook ondersoek. Daar is besluit om hierdie twee nie-oorvleuelende windingskonfigurasies met ’n “hipotetiese” gekonsentreerde, oorvleuelende windingskonfigurasie te vergelyk. Dit behoort ons in staat te stel om die doeltreffendheid van nie-oorvleuelende windings te bepaal, met betrekking tot die afname in koperverliese asook die afname in kopervolume. Verder sal dit ons in staat stel om ook mate waartoe die ontwikkelde draaimoment deur nie-oorvleuelende windings beïnvloed word, te ondersoek.

Dans certaines circonstances, des actions de groupes sont plus performantes que des actions individuelles. Dans ces situations, il est préférable de former des coalitions. Ces coalitions peuvent être disjointes ou imbriquées. La littérature économique met un fort accent sur la modélisation des accords où les coalitions d’agents économiques sont des ensembles disjoints. Cependant on observe dans la vie de tous les jours que les coalitions politiques, environnementales, de libre-échange et d’assurance informelles sont la plupart du temps imbriquées. Aussi, devient-il impératif de comprendre le fonctionnement économique des coalitions imbriquées. Ma thèse développe un cadre d’analyse qui permet de comprendre la formation et la performance des coalitions même si elles sont imbriquées. Dans le premier chapitre je développe un jeu de négociation qui permet la formation de coalitions imbriquées. Je montre que ce jeu admet un équilibre et je développe un algorithme pour calculer les allocations d’équilibre pour les jeux symétriques. Je montre que toute structure de réseau peut se décomposer de manière unique en une structure de coalitions imbriquées. Sous certaines conditions, je montre que cette structure correspond à une structure d’équilibre d’un jeu sous-jacent. Dans le deuxième chapitre j’introduis une nouvelle notion de noyau dans le cas où les coalitions imbriquées sont permises. Je montre que cette notion de noyau est une généralisation naturelle de la notion de noyau de structure de coalitions. Je vais plus loin en introduisant des agents plus raffinés. J’obtiens alors le noyau de structure de coalitions imbriquées que je montre être un affinement de la première notion. Dans la suite de la thèse, j’applique les théories développées dans les deux premiers chapitres à des cas concrets. Le troisième chapitre est une application de la relation biunivoque établie dans le premier chapitre entre la formation des coalitions et la formation de réseaux. Je propose une modélisation réaliste et effective des assurances informelles. J’introduis ainsi dans la littérature économique sur les assurances informelles, quatre innovations majeures : une fusion entre l’approche par les groupes et l’approche par les réseaux sociaux, la possibilité d’avoir des organisations imbriquées d’assurance informelle, un schéma de punition endogène et enfin les externalités. Je caractérise les accords d’assurances informelles stables et j’isole les conditions qui poussent les agents à dévier. Il est admis dans la littérature que seuls les individus ayant un revenu élevé peuvent se permettre de violer les accords d’assurances informelles. Je donne ici les conditions dans lesquelles cette hypothèse tient. Cependant, je montre aussi qu’il est possible de violer cette hypothèse sous d’autres conditions réalistes. Finalement je dérive des résultats de statiques comparées sous deux normes de partage différents. Dans le quatrième et dernier chapitre, je propose un modèle d’assurance informelle où les groupes homogènes sont construits sur la base de relations de confiance préexistantes. Ces groupes sont imbriqués et représentent des ensembles de partage de risque. Cette approche est plus générale que les approches traditionnelles de groupe ou de réseau. Je caractérise les accords stables sans faire d’hypothèses sur le taux d’escompte. J’identifie les caractéristiques des réseaux stables qui correspondent aux taux d’escomptes les plus faibles. Bien que l’objectif des assurances informelles soit de lisser la consommation, je montre que des effets externes liés notamment à la valorisation des liens interpersonnels renforcent la stabilité. Je développe un algorithme à pas finis qui égalise la consommation pour tous les individus liés. Le fait que le nombre de pas soit fini (contrairement aux algorithmes à pas infinis existants) fait que mon algorithme peut inspirer de manière réaliste des politiques économiques. Enfin, je donne des résultats de statique comparée pour certaines valeurs exogènes du modèle. / When groups can perform a task more efficiently than single individuals, a desirable behavior is to form coalitions. Coalitions can be disjoint or overlapping. But, almost all the economics literature on coalition formation is mostly restricted to models where coalitions are disjoint. However, in politics, environmental issues, customs unions, informal insurance, and many other economic, social, and political interactions, we observe overlapping coalitions. How can we understand agreements involving overlapping coalitions ? How can we study their efficiency if there is no theory to model them ? My thesis solves these questions by developing a framework on coalition formation that accommodates overlapping coalitions. In the first chapter, following a non-cooperative approach, I develop a bargaining game to model the formation of overlapping coalitions. I show the existence of a subgame perfect equilibrium and I provide an algorithm that generates equilibrium outcomes for symmetric games. I establish an overlapping coalition’s representation for each network and I show that, under some conditions, they are equilibrium outcomes. The core is the most popular solution concept in cooperative game. In the second chapter, following a cooperative approach, I develop a new concept of core that accommodates overlapping coalitions, and coincides with the recursive core when coalitions do not intersect. First, I extend naively the residual game to only embody overlapping coalitions, and I obtain a range of allocations between the optimistic and the pessimistic core. Secondly, I provide a consistent notion of residual game and I show that the overlapping coalition structure core not only stands as a generalization of the coalition structure core, but also induces a refinement of the extended recursive core. As I build a theoretical framework for overlapping coalition formation, I provide applications in the remainder of the thesis. In the third chapter, I model informal insurance arrangements as a collection of overlapping trust coalitions. The model is based on empirical facts. I enrich the theoretical modeling of informal insurance arrangements by introducing four key features : the merging of the group approach and the network approach, the possibility for informal insurance organizations to overlap, the endogenous punishment scheme, and externalities. I characterize self enforcing stable informal insurance arrangements and I derive conditions under which deviation occurs. While it is always assumed in the literature that only wealthy individuals may deviate. I formally isolate conditions under which this assumption holds. Furthermore, I show that if these conditions does not hold, this assumption is violated. Finally, I provide static comparative results for consumption under two distinct sharing norms. Finally in the fourth chapter, I investigate multilateral informal insurance organizations built on networks of trust relationships. The model is based on empirical findings and nests the traditional approaches which use bilateral links or groups. I characterize self enforcing stable informal insurance organizations without imposing extreme discounting. I show that density and clustering characterize networks that match the lowest discounting for stability. While insurance is formally arranged to smooth consumption, I show that external effects such as social privileges tend to reinforce the stability of such arrangement. I use my stability results to derive comparative statics for exogenous parameters of the model. Finally, I develop a procedure in finite steps that equates consumption for all linked individuals. Contrary to the existing procedures in infinite steps, my procedure is more realistic and useful to policy makers.

Le système de santé est traversé aujourd’hui par une tension forte entre deux logiques : l’une privilégie, dans la tradition humaniste, le soin inconditionnel à la personne, l’autre privilégie, au nom d’impératifs de gestion, le management au service de l’efficacité productive hospitalière. Placé au cœur d’une organisation complexe, le cadre de santé semble ainsi condamné à un mouvement de balancier entre une « culture-santé » et une « culture-entreprise », ce qui lui confère un positionnement professionnel délicat au sein de l’institution. Comment se positionne-t-il et vers quoi évolue-t-il ? Nous montrerons que ces acteurs sont en tension et fortement clivés entre une idéologie humaniste et une idéologie gestionnaire, à la recherche de leur identité qui semble désormais problématique. Héritier d’une histoire et positionné dans un entre-deux, il se cherche. Comment concilie-t-il concrètement ces deux logiques dans son quotidien ? En quête d’un modèle lui permettant de résister aux pressions gestionnaires, il adopte une « posture d’accompagnement », se reconstruit ainsi à partir de compétences pédagogiques dans un espace informel, pour créer un antidote au management technicien et réintroduire ainsi un équilibre identitaire. Leurs capacités réflexives renforcent leur posture d’accompagnement et constituent alors un moyen efficace pour dépasser les tensions institutionnelles entre soin et management. Une formation en Sciences Humaines et Sociales, au service de leur développement personnel et professionnel, stabilise leur système de valeurs et leur permet de reconquérir une possible identité. / The French health-care system is currently faced with tensions arising from two different visions of health-care: the first one focuses on the unconditional care given to the patient in accordance with the humanistic tradition. The second one focuses on management priorities aiming for an efficient and productive management of hospitals. At the heart of a complex organizational structure lie the health managers, whose roles inevitably shift back and forth between a ‘company culture’ vision and that of ‘health-care culture’, thereby jeopardizing their professional position. Where do health managers stand and what is their future role? The aim of this study is to show the difficulties of juggling the humanistic tradition with the management-based approach and defining their identity. Health managers often find themselves in overlapping positions and strive to combine and apply the two visions in their work on a daily basis. In need of a model to resist management pressures, they act as a ‘support function’. This support stance helps them redefine their position and balances out the negative effects of technical management in health-care. The ability to look back on their own experience reinforces this support function and allows them to overcome the tensions arising from the cleavage between health-care and management. Providing health managers with a specific training in social and human sciences for their personal and professional development would strengthen their ethical values and allow them to regain control of their identity.

Data Handover est une librairie de fonctions adaptée aux systèmes distribués à grande échelle. Dho offre des routines qui permettent d'acquérir des ressources en lecture ou en écriture de façon cohérente et transparente pour l'utilisateur. Nous avons modélisé le cycle de vie de Dho par un automate d'état fini puis, constaté expérimentalement, que notre approche produit un recouvrement entre le calcul de l'application et le contrôle de la donnée. Les expériences ont été menées en mode simulé en utilisant la libraire GRAS de SimGrid puis, en exploitant un environnement réel sur la plate-forme Grid'5000. Par la théorie des files d'attente, la stabilité du modèle a été démontrée dans un contexte centralisé. L'algorithme distribué d'exclusion mutuelle de Naimi et Tréhel a été enrichi pour offrir les fonctionnalités suivantes: (1) Permettre la connexion et la déconnexion des processus (ADEMLE), (2) admettre les locks partagés (AEMLEP) et enfin (3) associer les deux propriétés dans un algorithme récapitulatif (ADEMLEP). Les propriétés de sûreté et de vivacité ont été démontrées théoriquement. Le système peer-to-peer proposé combine nos algorithmes étendus et le modèle originel Dho. Les gestionnaires de verrou et de ressource opèrent et interagissent mutuellement dans une architecture à trois niveaux. Suite à l'étude expérimentale du système sous-jacent menée sur Grid'5000, et des résultats obtenus, nous avons démontré la performance et la stabilité du modèle Dho face à une multitude de paramètres / Data Handover is a library of functions adapted to large-scale distributed systems. It provides routines that allow acquiring resources in reading or writing in the ways that are coherent and transparent for users. We modelled the life cycle of Dho by a finite state automaton and through experiments; we have found that our approach produced an overlap between the calculation of the application and the control of the data. These experiments were conducted both in simulated mode and in real environment (Grid'5000). We exploited the GRAS library of the SimGrid toolkit. Several clients try to access the resource concurrently according the client-server paradigm. By the theory of queues, the stability of the model was demonstrated in a centralized environment. We improved, the distributed algorithm for mutual exclusion (of Naimi and Trehel), by introducing following features: (1) Allowing the mobility of processes (ADEMLE), (2) introducing shared locks (AEMLEP) and finally (3) merging both properties cited above into an algorithm summarising (ADEMLEP). We proved the properties, safety and liveliness, theoretically for all extended algorithms. The proposed peer-to-peer system combines our extended algorithms and original Data Handover model. Lock and resource managers operate and interact each other in an architecture based on three levels. Following the experimental study of the underlying system on Grid'5000, and the results obtained, we have proved the performance and stability of the model Dho over a multitude of parameters

We study skill- and income-related differences in the access to health care as drivers of longevity inequality from a theoretical life-cycle as well as from a macroeconomic perspective. To do so, we develop an overlapping generations model populated by heterogeneous agents subject to endogenous mortality. We model two groups of individuals for whom differences in skills translate into differences in income and in the ability to use medical technology effectively in curbing mortality. We derive the skill- and age-specific individual demand for health care based on the value of life, the level of medical technology and the market prices. Calibrating the model to the development of the US economy and the longevity gap between the skilled and unskilled, we study the impact of rising effectiveness of medical care in improving individual health and examine how disparities in health care utilisation and mortality emerge as a consequence. In so doing, we explore the role of skill-biased earnings growth, skill-bias in the ability to access state-of-the art health care and to use it effectively, and skill-related differences in health insurance coverage. We pay attention to the macroeconomic feedback, especially to medical price inflation. Our findings indicate that skill-bias related to the effectiveness of health care explains a large part of the increase in the longevity with earnings-related differences in the utilisation of health care taking second place. Both channels tend to be reinforced by medical progress.

本文羅爾斯社會整合理論研究旨在探索羅爾斯整合理論之穩定性及其 整合性格的問題,全文分為社會聯結(social union)與社會整合(social unity)二個場域討論,在縱剖面上,以穩定性的問題為中心貫穿二個場域; 在橫剖面上,以對的優先性(the priority of theright)為支架吸納所欲 討論的子題. 就穩定性的問題來說,在社會聯結中羅爾斯訴諸於道德人的 自律與完序社會的正義感來確保正義制度的穩定性;在社會整合中羅爾斯 修正以各種整全性學說所形成的交疊共識(overlapping consensus)來保 障穩定性的達成 .最重要的是,筆者認為包含式公共理性(inclusive public reason)為促使交疊共識與穩定性達成的最主要力量.而就整合性 格來說,社會聯結純粹是為了避免成為私有社會(private society)的設 計;至於社會整合,筆者認為是羅爾斯面對當代多元主義事實下所欲完成的 政治哲學任務.而筆者特別要強調,雖然羅爾斯一再否認其學說為目的論式 的主張,然而筆者認為其社會聯結與社會整合的設計是有著公共善(public good)的概念,筆者認為羅爾斯的公共善就是一個正義社會的達成,此不僅 僅是公民們所分享的終極目標,亦是羅爾斯社會藍圖的終極理想.