36 resultados para 329-U1371A
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Luettelo Kansalliskirjastossa olevan Armas Järnefeltin arkiston sisällöstä
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Kirje
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Puhe
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Globalization and new information technologies mean that organizations have to face world-wide competition in rapidly transforming, unpredictable environments, and thus the ability to constantly generate novel and improved products, services and processes has become quintessential for organizational success. Performance in turbulent environments is, above all, influenced by the organization's capability for renewal. Renewal capability consists of the ability of the organization to replicate, adapt, develop and change its assets, capabilities and strategies. An organization with a high renewal capability can sustain its current success factors while at the same time building new strengths for the future. This capability does not only mean that the organization is able to respond to today's challenges and to keep up with the changes in its environment, but also that it can actas a forerunner by creating innovations, both at the tactical and strategic levels of operation and thereby change the rules of the market. However, even though it is widely agreed that the dynamic capability for continuous learning, development and renewal is a major source of competitive advantage, there is no widely shared view on how organizational renewal capability should be defined, and the field is characterized by a plethora of concepts and definitions. Furthermore,there is a lack of methods for systematically assessing organizational renewal capability. The dissertation aims to bridge these gaps in the existing research by constructing an integrative theoretical framework for organizational renewal capability and by presenting a method for modeling and measuring this capability. The viability of the measurement tool is demonstrated in several contexts, andthe framework is also applied to assess renewal in inter-organizational networks. In this dissertation, organizational renewal capability is examined by drawing on three complimentary theoretical perspectives: knowledge management, strategic management and intellectual capital. The knowledge management perspective considers knowledge as inherently social and activity-based, and focuses on the organizational processes associated with its application and development. Within this framework, organizational renewal capability is understood as the capacity for flexible knowledge integration and creation. The strategic management perspective, on the other hand, approaches knowledge in organizations from the standpoint of its implications for the creation of competitive advantage. In this approach, organizational renewal is framed as the dynamic capability of firms. The intellectual capital perspective is focused on exploring how intangible assets can be measured, reported and communicated. From this vantage point, renewal capability is comprehended as the dynamic dimension of intellectual capital, which consists of the capability to maintain, modify and create knowledge assets. Each of the perspectives significantly contributes to the understanding of organizationalrenewal capability, and the integrative approach presented in this dissertationcontributes to the individual perspectives as well as to the understanding of organizational renewal capability as a whole.
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Hoitotieteen pääkokoelma sijaitsee Terveystieteiden osastokirjastossa, jossa painettu yleiskokoelma koostuu 790 nimekkeestä monografioita (painettujen monografiasarjojen osat ovat mukana luvussa). Hoitotiede-kokoelmasta yli 40 % (329 nimekettä) käsittelee käytännön hoitotyötä joko yleisesti (21 % / 168) tai jollakin erityisalueella (20 % /161). Erityisalueista suurimmat ovat geriatrinen hoitotyö (6 % / 42) ja psykiatrinen hoitotyö (4 % 35). Lähes kolmasosa kokoelmasta on yleisteoksia (27 % / 241) käsittäen mm. koulutusta (5 % /41), tutkimusta (11 % /86) ja hoitotyötä ammattina (6 % /51) tarkastelevaa kirjallisuutta. Hoitotyön etiikkaa, filosofiaa ja psykologiaa on kokoelmassa vajaa viidennes (17 % / 137). Hallintoa, esimiestehtäviä ja hoitotyön opetusta käsittelevää kirjallisuutta oli 5 % (43 nimekettä). Hoitotiede on käsikirjaston hyllyluokittelussa osana lääketiedettä. Hoitotieteen alueen nimekkeitä on käsikirjaston kokoelmasta 12 kappaletta, joista pääosa (8 kpl) oli sanakirjoja. Painettuja lehtiä on 8 nimekettä (Hoitotiede, Nursing Clinics of North America, Sairaanhoitaja, Terveydenhoitaja, Pro Terveys, Vård i Norden, Tutkiva hoitotyö, Spirium). Sähkökirjoja kokoelmassa on noin 50 nimekettä Ebrary-tietokannassa, 2 nimekettä NetLibrary-tietokannassa ja 2 nimekettä Taylor & Francis eBooks online -tietokannassa ja sähköisiä terveystieteen sanastoja 5 kpl (Hoidokki – hoitotyön asiasanasto, FinMeSH-asiasanasto, Medical Subject Headings (MeSH), Sosiaali- ja terveydenhuollon sanastoja (STAKES) ja Swedish MeSH). Verkkolehtiä kokoelmassa on noin 230 nimekettä (ISI Web of Knowledge Journal Citation Reports -tietokannan listaamista 36 nimekkeestä kokoelmissa on 86 % (31 nimekettä). Tietokantoja on 33, mm. lehtitietokanta Ebscohost Academic Search Premier ja viitetietokantoja mm. British Nursing Index, CINAHL (Ovid), EBM Reviews: Cochrane Database of Systematic Reviews, Medic, Medline (Ovid)ja PsycINFO (Ebsco).
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Soitinnus: ork.
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Human papillomavirus (HPV) infections in mothers are important to consider since pregnancy may affect the outcome of the infection and the mother may transmit HPV to the child. This thesis is part of the 3-year Finnish Family HPV Study on HPV infection dynamics within 329 families. The presence of maternal HPV antibodies and HPV DNA in placenta, umbilical cord blood and breast milk was examined. In addition, genital and oral HR-HPV carriage was studied among mothers with one or two pregnancies. At enrollment, seropositivity to HPV 6, 11, 16, 18 and 45 was recorded in 53 %, 21 %, 35 %, 21 % and 9 % of the mothers, respectively. Age at sexual debut, number of sexual partners, a history of genital warts and antibodies to LR/HR-HPV predicted HR/LR-HPV-seropositivity. During follow-up 27 %, 14 %, 17 %, 17 % and 7 % of the mothers seroconverted to the tested HPV-types, respectively. Decay of HPV-antibodies was rare. The mother’s new pregnancy was of minor impact in the outcome of oral and cervical HR-HPV infections. HPV-DNA was present in 4.2 % and 3.5 % of the placentas and umbilical cord blood samples, and in 4.5 % and 19.7 % of the breast milk samples collected at day 3 and month 2 postpartum, respectively. HPV-positivity in placenta/cord blood was related to a history of abnormal pap-smears or genital warts, and raised the risk of the neonate being HPV-positive at birth. The mode of delivery did not predict the HPVstatus of neonate, placenta, or cord blood. HPV DNA in breast milk was associated with oral HPV status of the father, but not with HPV status of the neonate. The results indicate that exposure to HPV is common and that part of the exposure might take place already early in life. Contrary to the common claim, pregnancy is not a risk factor for HPV.