Late results after paediatric cardiac surgery

Background: Congenital heart defects include a wide range of inborn malformations. Depending on the defect, the life expectancy of a newborn with cardiac anomaly varies from a few days to a normal life span. In most instances surgery, is the only treatment available. The late results of surgery have not been comprehensively investigated. Aims: Mortality, morbidity and the life situation of all Finnish patients who had been operated on for congenital heart defect during childhood were investigated. Methods: Patient and surgical data were gathered from all hospitals that had performed heart surgeries on children. Late mortality and survival data were obtained from the population registry, and the causes of deaths from Statistics Finland. Morbidity of patients operated on during 1953-1989 was assessed by the usage of medicines. The pharmacotherapy data of patients and controls were obtained from the Social Insurance Institute. The life situation of patients was surveyed by mailed questionnaire. Survival, causes of deaths and life situation of patients were compared with those of the general population. Results: A total of 7240 cardiac operations were performed on 6461 children during the first 37 years of cardiac surgery (1953-1989). The number of procedures constantly rose during this period, and the increase continued in later years. The patient material varied over time, as more defects became surgically treatable. During 1953-1989 the operative mortality (death within 30 days of surgery) was 6.9%. In the 1990s a slight rise occurred in early mortality, as increasingly complicated patients were surgically treated. During 2000-2003 practically no defects were beyond the operative range. Thus, the operative mortality of 4.4% was excellent, decreasing even further to 2.0% in 2004-2007. The overall 45-year survival of patients operated on in 1953-1989 was 78%, and the corresponding figure for the general population was 93%. Survival depended on the defect, being worst among patients with univentricular heart. Late survival was also better during the 1990s and at the beginning of the 21st century. Of the 6028 early survivors, 592 died late (>30 days) after surgery. A total of 397 deaths (67%) were related and 185 (31%) unrelated to congenital heart defect. The cause of death was unknown in 10 cases. Of those 5774 patients who survived their first operation and had complete follow-up, 16% were operated on several times. Seventeen percent of patients used medicines for cardiac symptoms (heart failure, arrhythmia, hypertension and coronary disease). Patients risk of using cardiac medicines was 2.16 (Cl 1.97-2.37) times higher than that of controls. Patients also had more genetic syndromes and mental retardation and more often used medicines for asthma and epilepsy. Adult patients who had been operated on as children had coped surprisingly well with their defects. Their level of education was similar and their employment level even higher than expected, and they were living in a steady relationship as often as the general population. Conclusions: Cardiac surgery developed rapidly, and nowadays practically all defects can be treated. The overall survival of all operated patients was 78%, 16% less than that of the general population. However, it was significantly better than the anticipated natural survival. However, many patients had health problems; 16% needed reoperations and 17% cardiac medicines to maintain their condition. Most of the patients assessed their general health as good and lived a normal life.

Molecular mechanisms of hypertension-induced heart failure : Experimental studies with special emphasis on local renin-angiotensin system, cardiac metabolism and levosimendan

Hypertension is a major risk factor for stroke, ischaemic heart disease, and the development of heart failure. Hypertension-induced heart failure is usually preceded by the development of left ventricular hypertrophy (LVH), which represents an adaptive and compensatory response to the increased cardiac workload. Biomechanical stress and neurohumoral activation are the most important triggers of pathologic hypertrophy and the transition of cardiac hypertrophy to heart failure. Non-clinical and clinical studies have also revealed derangements of energy metabolism in hypertensive heart failure. The goal of this study was to investigate in experimental models the molecular mechanisms and signalling pathways involved in hypertension-induced heart failure with special emphasis on local renin-angiotensin-aldosterone system (RAAS), cardiac metabolism, and calcium sensitizers, a novel class of inotropic agents used currently in the treatment of acute decompensated heart failure. Two different animal models of hypertensive heart failure were used in the present study, i.e. hypertensive and salt-sensitive Dahl/Rapp rats on a high salt diet (a salt-sensitive model of hypertensive heart failure) and double transgenic rats (dTGR) harboring human renin and human angiotensinogen genes (a transgenic model of hypertensive heart failure with increased local RAAS activity). The influence of angiotensin II (Ang II) on cardiac substrate utilization and cardiac metabolomic profile was investigated by using gas chromatography coupled to time-of-flight mass spectrometry to detect 247 intermediary metabolites. It was found that Ang II could alter cardiac metabolomics both in normotensive and hypertensive rats in an Ang II receptor type 1 (AT1)-dependent manner. A distinct substrate use from fatty acid oxidation towards glycolysis was found in dTGR. Altered cardiac substrate utilization in dTGR was associated with mitochondrial dysfunction. Cardiac expression of the redox-sensitive metabolic sensor sirtuin1 (SIRT1) was increased in dTGR. Resveratrol supplementation prevented cardiovascular mortality and ameliorated Ang II-induced cardiac remodeling in dTGR via blood pressure-dependent pathways and mechanisms linked to increased mitochondrial biogenesis. Resveratrol dose-dependently increased SIRT1 activity in vitro. Oral levosimendan treatment was also found to improve survival and systolic function in dTGR via blood pressure-independent mechanisms, and ameliorate Ang II-induced coronary and cardiomyocyte damage. Finally, using Dahl/Rapp rats it was demonstrated that oral levosimendan as well as the AT1 receptor antagonist valsartan improved survival and prevented cardiac remodeling. The beneficial effects of levosimendan were associated with improved diastolic function without significantly improved systolic changes. These positive effects were potentiated when the drug combination was administered. In conclusion, the present study points to an important role for local RAAS in the pathophysiology of hypertension-induced heart failure as well as its involvement as a regulator of cardiac substrate utilization and mitochondrial function. Our findings suggest a therapeutic role for natural polyphenol resveratrol and calcium sensitizer, levosimendan, and the novel drug combination of valsartan and levosimendan, in prevention of hypertension-induced heart failure. The present study also provides a better understanding of the pathophysiology of hypertension-induced heart failure, and may help identify potential targets for novel therapeutic interventions.

Pain measurement and management in elderly patients : Clinical studies in long term hospital care and after cardiac surgery

The proportion of patients over 75 years of age, receiving all different types of healthcare, is constantly increasing. The elderly undergo surgery and anaesthetic procedures more often than middle-aged patients. Poor pain management in the elderly is still an issue. Although the elderly consumes the greatest proportion of prescribed medicines in Western Europe, most clinical pharmacological studies have been performed in healthy volunteers or middle-aged patients. The aim of this study was to investigate pain measurement and management in cognitively impaired patients in long term hospital care and in cognitively normal elderly patients after cardiac surgery. This thesis incorporated 366 patients, including 86 home-dwelling or hospitalized elderly with chronic pain and 280 patients undergoing cardiac surgery with acute pain. The mean age of patients was 77 (SD ± 8) years and approximately 8400 pain measurements were performed with four pain scales: Verbal Rating Scale (VRS), the Visual Analogue Scale (VAS), the Red Wedge Scale (RWS), and the Facial Pain Scale (FPS). Cognitive function, depression, functional ability in daily life, postoperative sedation and postoperative confusion were assessed with MMSE, GDS, Barthel Index, RASS, and CAM-ICU, respectively. The effects and plasma concentrations of fentanyl and oxycodone were measured in elderly (≥ 75 years) and middle-aged patients (≤ 60 years) and the opioid-sparing effect of pregabalin was studied after cardiac surgery. The VRS pain scores after movement correlated with the Barthel Index. The VRS was most successful in the groups of demented patients (MMSE 17-23, 11-16 and ≤ 10) and in elderly patients on the first day after cardiac surgery. The elderly had a higher plasma concentration of fentanyl at the end of surgery than younger patients. The plasma concentrations of oxycodone were comparable between the groups. Pain intensity on the VRS was lower and the sedation scores were higher in the elderly. Total oxycodone consumption during five postoperative days was reduced by 48% and the CAM-ICU scores were higher on the first postoperative day in the pregabalin group. The incidence of postoperative pain during movement was lower in the pregabalin group three months after surgery. This investigation demonstrates that chronic pain did not seem to impair daily activities in home-dwelling Finnish elderly. The VRS appeared to be applicable for elderly patients with clear cognitive dysfunction (MMSE ≤17) and it was the most feasible pain scale for the early postoperative period after cardiac surgery. After cardiac surgery, plasma concentrations of fentanyl in elderly were elevated, although oxycodone concentrations were at similar level compared to middle-aged patients. The elderly had less pain and were more sedated after doses of oxycodone. Therefore, particular attention must be given to individual dosing of the opioids in elderly surgical patients, who often need a smaller amount for adequate analgesia than middle-aged patients. The administration of pregabalin reduced postoperative oxycodone consumption after cardiac surgery. Pregabalin-treated patients had less confusion, and additionally to less postoperative pain on the first postoperative day and during movement at three months post-surgery. Pregabalin might be a new alternative as analgesic for acute postoperative and chronic pain management in the elderly. Its clinical role and safety remains to be verified in large-scale randomized and controlled studies. In the future, many clinical trials in the older category of patients will be needed to facilitate improvements in health care methods.

Èto i to v povesti Staruha Daniila Harmsa

This dissertation focuses on the short story Starukha (The Old Woman), one of the last works of the Russian writer Daniil Kharms (1905-1942). The story, written in 1939, is analysed using the Kharmsian concepts èto and to (this and that) as a heuristic interpretative model. The first chapter gives a detailed analysis of this model, as well as a survey of the critical work done to date on Kharms and Starukha. In the second chapter the model is applied to study the different states of consciousness of the male protagonist. This is significant, because he is the "I" of the work, from whose point of view everything is being told. The third chapter takes a closer look at the reality of the world that exists independently of the consciousness of the protagonist. Physical objects can be said to bear - besides their everyday meaning - a hidden symbolic meaning. Similarly, the characters can be considered as representatives of everyday reality and otherworldliness. The fourth chapter deals with the narrative devices of Starukha. The problematics of the relation between fact and fiction plays an essential role in the story. Kharms's use of Ich-Erzählung and different tenses, which contributes to achieving a complicated elaboration of this kind of problematics, is examined in detail. The fifth chapter provides an intertextual reading of Starukha, based on its allusions to the Bible and the Christian tradition. As a result, the whole story can be seen as a kind of meditation on the Passion of Christ. The final chapter examines how the important Kharmsian concepts of the grotesque and the absurd manifest themselves in Starukha. The old woman represents in a grotesque way two opposite systems: the religious and the totalitarian. The absurdity of Starukha can be claimed to be illusory. Therefore, it is better to speak about paradoxicality. Starukha itself is a kind of paradox, in the sense that it tries to say something of the ultimate truth of reality, which inevitably remains ineffable.

Andegraund : Istorija i mify leningradskoj neoficial'noj literatury

The history of the Leningrad underground is one of the key themes of late socialism. Samizdat, "black humour", religious syncretism, dissidence, apolitical bohemianism, the pathos of freedom of individuality and the mechanics of literature are closely interlinked with the cultural mythology of this passed epoch. Describing conceptions that, when taken together, form the contemporary understanding of unofficial culture, the author creates a historical portrait of this environment. Amongst the central figures here, there are well-known writers (Bitov, Brodsky, Dovlatov, Khvostenko, Krivulin) and literary activists who still await recognition. The analysis of works, many of which were only distributed in typewritten publications in the 1960s-1980s, gives a preliminary definition of the key factors that united the authors of the unofficial community. The book begins with a critique of the identification of the Soviet underground with political dissidence or with a society living in autonomous independence with regard to the state. Describing the historical development of the various names for this environment (the underground, samizdat, unofficial culture, podpolie and others), the author follows the genesis of the community from its appearance, in the years of "the Thaw", through to perestroika, when it dissolved. Taking the history of the publication of Bitov's "The Pushkin House" as an example, the concept of the unofficial is interpreted as a risky interaction with the authorities. Unofficial culture is then viewed as a late Soviet reflection of the Western underground in the 1950s-1960s. Unlike the radical-utopian-anarchistic source, it proclaimed a liberalist and democratic ideology in the context of the destruction of the socialist utopia. The historical portrait of the community is built up from the perceptions of its members regarding literature practice and rhetorical approaches, with the aid of which these perceptions are expressed. Taking typewritten publications as source material, four main representations are given: privacy, deviancy, criticism and irrationality. An understanding of literature as a private affair, neo-avant-garde deviancy in social and literary behaviour and the pathos of the critical relationship with officialdom and irrational message of literary work, comprise the basis for the worldview of unofficial authors, as well as the poetic system, genre preferences and dictums. An analysis of irrationality, based on the texts of Khvostenko and Bogdanov, leads to a review of the cultural mythologies that were crucial to the unofficial conception of the absurd. Absurd is an homonym. It contains ideas that are important for the worldview of unofficial authors and the poetics of their works. The irrationality of the Soviet order is reflected in the documentary nature of the satirical prose of Dovlatov. The existential absurd of Camus is perceived here as the pointlessness of social realities and the ontological alienation of man, while existentialist practices for consciousness in the "atmosphere of absurd" remain bracketed off. The third homonym of absurd - the conception of reality as an illusion - is a clear demonstration of religious syncretism, where neo-Christian ideas are interweaved with a modernized version of Hinduism, as taken from Rolland s books on Ramakrishna and Vivekananda. The unofficial community was influenced by the ideology of westernization. Even "the East" arrived here via French retellings and accounts. As a whole, unofficial Leningrad culture can be understood as a neo-modernist phenomenon which, unlike the western neo-modernism of the 1940s and 1950s, arose in the years of the Thaw and ended its existence in the mid-1980s.

Recipient v russkom razgovore : o raspredelenii funkcij mezhdu otvetami da, nu i tak

The study investigates actions by recipients in spontaneous Russian conversations by focusing on DA, NU and TAK, when they are used as responses to the main speaker's larger on-going turn. The database for the study consists of some 7 hours of spontaneous conversations. The participants of the conversations come from different parts of Russia. The use of DA, NU and TAK was analyzed by applying the method of ethnomethodological conversation analysis from the point of view of the type of the context, the sequential placement of the response and its manner of production. The particles were analyzed both in contexts in which they responded to an informing and in affective contexts. The particles NU and TAK were used by the speakers almost exclusively in informing contexts, whereas DA was the central response type in affective contexts. DA was also the most common response to information with affective implications. The information, to which the particle NU provided as response, was often unspesific and projected a spesification or explanation by its speaker as the next action. DA and TAK, by contrast, treated the information as one that could be followed and was sufficient in its local context. As a response to parenthetical information NU responded to information that was only loosely connected with the mainline of talk. The particle DA, by contrast, was used as a response to such parenthetical information, which was more crucial for the larger on-going activity. Only NU was used as a response that invited the main speaker to continue a turn that she or he had offered as possibly complete. NU was also used by the recipient after her or his own contribution as a continuer. In affective contexts, DA expressed, depending on its more spesific context, not only agreement but also other functions, such as giving up arguing or prior knowledge on the topic being discussed. In addition DA responses were used to display empathy and identification with the state of affairs expressed by the co-participant. NU, by contrast, was seldom used as a response to a turn that expressed affect. When it was used in affective contexts, it displayed agreement with the co-participant or just registered an assessment by her or him.

Ivanov-mistik : Okkul'tnye motivy v poèzii i proze Vjačeslava Ivanova (1907-1919)

The subject of this work is the mysticism of Russian poet, critic and philosopher Vjacheslav Ivanov (1866-1949). The approach adopted involves the textual and discourse analysis and findings of the history of ideas. The subject has been considered important because of Ivanov's visions of his dead wife, writer Lydia Zinovieva-Annibal, which were combined with audible messages ("automatic writings"). Several automatic writings and descriptions of the visions from Ivanov's archive collections in St.Petersburg and Moscow are presented in this work. Right after the beginning of his hallucinations in the autumn of 1907, Ivanov was totally captivated by the theosophical ideas of Anna Mintslova, the background figure for this work. Anna Mintslova, a disciple of Rudolf Steiner's Esoteric School, offered Ivanov the theosophical concept of initiation to interpret paranormal phenomena in his intimate life. The work is divided into three main chapters, an introduction and aconclusion. The first chapter is called The Mystical Person: Anthropology of Ivanov and describes the role of the inner "Higher Self" in Ivanov's views on the nature of human consciousness. The political implications of the concepts, "mystical anarchism" and "sobornost" (religious unity) are also examined. The acquaintance and contacts with Anna Mintslova during 1906-1907 gave a framework to Ivanov's search for an organic society and personal religious experience. The second part, Mystics of Initiation and Visionary Aesthetics describes the influence of the initiation concept on Ivanov's aesthetic views (mainly "realistic symbolism"). On the other hand, some connections between the imagery of his visions and symbols in his verses of that period are established. Since Mintslova represented the ideas of Rudolf Steiner in Russia, several symbols shared by Steiner and Ivanov ("rose", "rose and cross") have been another subject of investigation. The preference for strict verse form in the lyrics of Ivanov's visionary period is interpreted as an attempt to place his own poetic creation within two traditions, a mystical and literary one. The third part of this work, Mystics of Hope and Terror, examines Ivanov's conception of Russia in connection with Mintslova's ideas of occult danger from the East. Ivanov's view of the "Russian idea" and his nationalistic idea during World War I are considered as a representation of the fear of the danger. Ivanov's interpretation of the October revolution is influenced by the theosophical concept of the "keeper of the threshold" which occurs in the context of the discourse of occult danger.

Analiz obraza ženščiny na osnove jazykovogo materiala ”Krest’janka” 1985, 1995 i 2005 gg.

Tämän tutkimuksen tarkoituksena on tutkia Venäjällä ilmestyvän ”Krest’janka”-lehden välittämää naiskuvaa. Tutkimukseen on valittu lehden vuosikerrat 1985, 1995 ja 2005, koska suuret muutokset Venäjällä ajoittuvat tälle aikavälille. Haluamme selvittää, miten naiskuva on muuttunut tänä aikana ja miten se välittyy lehden sivuilta. Tutkimukseemme olemme käyttäneet A.V. Kirilinan työssään käyttämiä metodeja. Keräsimme lehdistä kaikki verbilausekkeet, joiden subjektina on naista tarkoittava sana ja jaoimme ne luokkiin merkityksen mukaan. Jaottelun jälkeen analysoimme kerättyä aineistoa ja pyrimme löytämään kullekin vuosikerralle tyypillisiä verbilausekkeita. Tämän lisäksi keräsimme lehdistä kaikki naista kuvaavat adjektiivit ja vertailimme niiden käyttöä eri vuosina. Tulosten perusteella voidaan sanoa, että vuoden 1985 lehdissä vaikuttaa vielä voimakkaasti sosialismin ihanteet. Nainen kuvataan työnsä kautta aktiivisena ja tavoitteensa ylittävänä kansalaisena. Yksityiselämään ei juuri kiinnitetä huomiota. Vuoden 1995 ja 2005 lehtien naiset ovat keskenään hyvinkin samanlaisia. Naisen elämästä puhutaan nyt jo laajemmin. Työn lisäksi yksityiselämä ja tunteet ovat keskeisiä aiheita. Kun 1985 lehdissä ei puhuttu naisesta negatiiviseen sävyyn, niin 1995 ja 2005 vuosien lehdissä naista kuvataan myös negatiivisessa valossa. Myös yhteiskunnan epäkohtiin kiinnitetään huomiota naisen näkökulmasta.

Slovo lider i ego upotreblenie v sovremennoj rossijskoj presse

Venäjän kieleen on kautta historian lainautunut sanoja muista kielistä. Historian tapahtumat ovat vaikuttaneet siihen, mistä kielistä sanoja on lainautunut eri aikakausina. Viime vuosikymmeninä venäjän kieleen on tulvinut lainasanoja englannin kielestä yhteiskunnan eri alueille. Tiiviit poliittiset, taloudelliset ja kulttuurisuhteet maiden ja kansojen välillä ovat ulkoisia, ei-kielellisiä syitä sanojen lainaamiseen. Kielen osa-alueista sanasto on kaikista avoimin ulkoisille vaikutteille ja samalla se on alue, johon heijastuvat yhteiskunnassa tapahtuvat muutokset. Lainasanojen ilmaantumiselle kieleen on myös sisäisiä, kielellisiä syitä. Lainasanojen ilmaantumisessa kirjallisessa muodossa venäjän kieleen voidaan erottaa kolme tapaa: transplantaatio eli sitaattilaina, translitteraatio sekä käytännöllinen transkriptio, jossa jokainen vieraskielinen foneemi pyritään esittämään vastaavalla venäjän foneemilla, jolloin vieraskielisen sanan ääntämys säilyy mahdollisimman alkuperäisenä. Lider-sana on esimerkki käytännöllisestä transkriptiosta, jossa venäläinen kirjoitusasu vastaa englannin kielen ääntämystä. Tutkimuksen kohteena on englanninkielinen lainasana lider, joka on ilmaantunut venäjän kieleen jo 1800-luvun puolivälissä. Sana on johdettu verbistä lead, merkityksessä ’johtaa, olla johdossa’, ja siinä on muodostunut substantiivi leader, ’johtaja’. Tutkimusaineistoa varten on poimittu 100 poliittiseen kielenkäyttöön liittyvää lider-sanaa sähköisessä tietokannassa Integrumissa olevassa Izvestija-lehdestä kahtena eri ajanjaksona, vuoden 1994 alusta alkaen sekä vuoden 2004 alusta alkaen. Tutkimuksessa keskityttiin lider-sanan käyttöön poliittisessa kielenkäytössä, mutta tutkimusaineiston keräysvaiheessa kirjattiin ylös myös muilla aihealueilla esiintyneet lider-sanat niidenkin käytön tarkastelua varten. Tutkimusta varten tarkasteltiin, millaisia määrityksiä lider-sanalle löytyy erilaisista nykykielen sanakirjoista eri vuosikymmeniltä. Vanhin mukana oleva sanakirja on venäläis-suomalainen sanakirja vuodelta 1912, jossa lider-sana määritellään yhdellä sanalla, ’puolueenjohtaja’. Aineisto jaettiin myös kolmeen ryhmään maantieteellisen sijainnin mukaan: Venäjä, entiset neuvostotasavallat ja ulkomaat. Tällä haluttiin selvittää, käytetäänkö lider-sanaa enemmän ulkomaisten vai venäläisten tapahtumin yhteydessä. Tutkimuksessa ilmeni, että suurin osa lider-sanoista liittyi Venäjän tapahtumiin molempina tarkasteluajanjaksoina – v. 1994 osuus oli 54 % ja v. 2004 50 %. Tähän tulokseen vaikuttavat varmaankin v. 1993 joulukuussa pidetyt ensimmäiset parlamenttivaalit sekä vuoden 2003 joulukuussa pidetyt duuman vaalit. Tutkimuksessa lider-sana jaettiin seitsemään eri kategoriaan käyttöyhteytensä mukaan ja saatujen tulosten perusteella suuri9n osa sanoista kuului kategoriaan ”puolueen johtaja”, v. 1994 osuus oli 47 % ja v. 2004 oli 40 %. Lider-sanan käyttö on levinnyt myös monelle muulle alueelle: urheilu, liike-elämä, kulttuuri, taide, tiede ja tekniikka. Venäjän kieleen ilmaantuu koko ajan vieraskielisiä sanoja, mutta kaikki niistä eivät sopeudu eivätkä juurru kieleen. Lainasanan on täytettävä tiettyjä edellytyksiä, jotta sitä voitaisiin pitää kieleen sopeutuneena: mukautumien kielen foneettiseen järjestelmään, sopeutuminen kielen graafiseen järjestelmään, sopeutuminen kieliopilliseen ympäristöön, semanttinen vakiintuminen sekä vakiintuminen vähintään kahdelle temaattiselle alueelle. Lainasanan juurtumisesta ja sopeutumisesta ovat todisteena myös siitä johdetut sanat. Lider-sana täyttää kaikki em. ehdot, joten sitä voidaan pitää venäjän kieleen sopeutuneena ja juurtuneena.

Utelämning i AV-översättning : En studie av textning i tre olika genrer

Tutkielman tavoitteena on kvalitatiivisen ja kvantitatiivisen analyysin avulla selvittää, millaisia poisjättöjä erityyppiset ohjelmat sisältävät. Tutkimusmateriaalina on lastenohjelma (Sune och hans värld), dokumentti (Yrke: kung) ja keskusteluohjelma (Bettina S) sekä niiden suomenkieliset tekstitykset. Jokaisesta ohjelmasta on analysoitu 15 minuuttia. Poisjättöjen luokittelussa pohjana on Koljosen (1995, 1997 ja 1998) luokittelu, joka koostuu kolmesta pääluokasta ja useasta alaluokasta. Kolme pääluokkaa ovat fakultatiiviset lauseenjäsenet (fakultativa satsdelar), puhekieliset piirteet (talspråkliga drag) ja informatiiviset osaset (informativa fragment). Hypoteeseja tutkielmassa on kaksi: suurin osa poisjätöistä on puhekielisyyksiä, mikä johtuu median vaihtumisesta puhutusta kirjoitettuun, ja informaatiota ei häviä, vaikka paljon on jätettävä pois aika- ja tilarajoitusten takia. Teoriaosassa käsitellään katsojan (tekstityksen vastaanottajan) tärkeää asemaa, poisjättöjen syitä ja poisjättöjä Koljosen luokittelun mukaisesti. Lisäksi teoriaosassa esitellään materiaalina olevat ohjelmatyypit, eli lastenohjelma, dokumentti ja puheohjelma. Analyysiosasta käy ilmi, että ohjelmat sisältävät melko erilaisia poisjättöjä. Tämä johtuu siitä, että lastenohjelmassa dialogi perustuu käsikirjoitukseen, kun taas dokumentissa ja keskusteluohjelmassa puhe on vapaata. Dokumentti on tyypillinen esimerkki monologista, eikä sisällä dialogille tyypillisiä piirteitä, kuten dialogipartikkeleita tai tervehdyksiä. Analyysistä käy myös ilmi, että valinnaisia lauseenjäseniä on jätetty eniten pois. Tämä johtuu ainoastaan siitä, että poisjätettyjen konjunktioiden määrä on suuri. Koljonen ei ole luokitellut konjunktioita tutkimuksissaan. Konjunktiot voitaisiin laskea myös diskurssipartikkeleihin (puhekielisiin piirteisiin), koska niillä on selvästi puhetta ohjaileva funktio, jolloin ensimmäinen hypoteeseista osoittautuisi todeksi. Puhekielisten piirteiden määrä vaihtelee ohjelmatyypistä riippuen. Dokumentti sisältää paljon toistoa, joka voidaan jättää pois. Keskusteluohjelmassa on puolestaan paljon poisjätettyjä dialogipartikkeleita, jotka toimivat vastauksena kysymykseen tai lyhyinä kommentteina. Lastenohjelmassa poisjättöjen jakauma on tasaisin: mikään ryhmä ei prosentuaalisesti erotu joukosta. Poisjätettyjen informaatiota sisältävien osasten määrä ei myöskään ole merkittävä. Analyysin perusteella voidaankin sanoa, että kummatkin hypoteesit osoittautuivat todeksi.