Occlusal and dentofacial characteristics of the deciduous dentition and treatment effects of the eruption guidance appliance in the early mixed dentition

The aim of this investigation was to analyze the dental occlusion in the deciduous dentition, and the effects of orthodontic treatment carried out in the early mixed dentition with the eruption guidance appliance. The deciduous occlusion and craniofacial morphology of 486 children (244 girls and 242 boys) were investigated at the onset of the mixed dentition period (mean age 5.1 years, range 4.0-7.8 years). Treatment in the treatment group and follow-up in the control group were started when the first deciduous incisor was exfoliated (T1) and ended when all permanent incisors and first molars were fully erupted (T2). The mean age of the children was 5.1 years (SD 0.5) at T1 and 8.4 years (SD 0.5) at T2. Treatment was carried out with the eruption guidance appliance. Occlusal changes that took place in 167 children were compared with those of 104 untreated control children. Pre- and post-treatment cephalometric radiographs were taken, and the craniofacial morphology of 115 consecutively treated children was compared with that of 104 control children. The prevalence of malocclusion in the deciduous dentition was 68% or 93% depending on how the cut-off value between the acceptable and non-acceptable occlusal characteristic was defined. The early dentofacial features of children with distal occlusion, large overjet and deepbite differed from those with normal occlusion. However, the skeletal pattern of these three malocclusions showed considerable similarity each being characterized by a retrusive mandible, small maxillo-mandibular difference, convex profile, retrusive lower incisors, and large interincisal angle. In the treatment group, overjet and overbite decreased significantly from T1 to T2. Following treatment, a tooth-to-tooth contact was found in 99% of the treated children but only in 24% of the controls. A Class I molar relationship was observed in 90% of the children in the treatment group, and in 48% in the control group. Good alignment of the incisors was observed in 98% of the treated children, whereas upper crowding was found in 32% and lower crowding in 47% of the controls. A significant difference between the groups was found in the mandibular length, midfacial length and maxillo-mandibular differential. The occlusal correction, brought about by the eruption guidance appliance, was achieved mainly through changes in the dentoalveolar region of the mandible. In addition, the appliance seemed to enhance the growth of the mandible. Treatment in the early mixed dentition using the eruption guidance appliance is an effective method to normalize occlusion and reduce further need of orthodontic treatment. Only few spontaneous corrective changes can be expected without active intervention.

Maritime transportation in the Gulf of Finland in 2007 and in 2015

The Gulf of Finland is said to be one of the densest operated sea areas in the world. It is a shallow and economically vulnerable sea area with dense passenger and cargo traffic of which petroleum transports have a share of over 50 %. The winter conditions add to the risks of maritime traffic in the Gulf of Finland. It is widely believed that the growth of maritime transportation will continue also in the future. The Gulf of Finland is surrounded by three very different national economies with, different maritime transportation structures. Finland is a country of high GDP/per capita with a diversified economic structure. The number of ports is large and the maritime transportation consists of many types of cargoes: raw materials, industrial products, consumer goods, coal and petroleum products, and the Russian transit traffic of e.g. new cars and consumer goods. Russia is a large country with huge growth potential; in recent years, the expansion of petroleum exports has lead to a strong economic growth, which is also apparent in the growth of maritime transports. Russia has been expanding its port activities in the Gulf of Finland and it is officially aiming to transport its own imports and exports through the Russian ports in the future; now they are being transported to great extend through the Finnish, Estonian and other Baltic ports. Russia has five ports in the Gulf of Finland. Estonia has also experienced fast economic growth, but the growth has been slowing down already during the past couples of years. The size of its economy is small compared to Russia, which means the transported tonnes cannot be very massive. However, relatively large amounts of the Russian petroleum exports have been transported through the Estonian ports. The future of the Russian transit traffic in Estonia looks nevertheless uncertain and it remains to be seen how it will develop and if Estonia is able to find replacing cargoes if the Russian transit traffic will come to an end in the Estonian ports. Estonia’s own import and export consists of forestry products, metals or other raw materials and consumer goods. Estonia has many ports on the shores of the Gulf of Finland, but the port of Tallinn dominates the cargo volumes. In 2007, 263 M tonnes of cargoes were transported in the maritime traffic in the Gulf of Finland, of which the share of petroleum products was 56 %. 23 % of the cargoes were loaded or unloaded in the Finnish ports, 60 % in the Russian ports and 17 % in the Estonian ports. The largest ports were Primorsk (74.2 M tonnes) St. Petersburg (59.5 M tonnes), Tallinn (35.9 M tonnes), Sköldvik (19.8 M tonnes), Vysotsk (16.5 M tonnes) and Helsinki (13.4 M) tonnes. Approximately 53 600 ship calls were made in the ports of the Gulf of Finland. The densest traffic was found in the ports of St. Petersburg (14 651 ship calls), Helsinki (11 727 ship calls) and Tallinn (10 614 ship calls) in 2007. The transportation scenarios are usually based on the assumption that the amount of transports follows the development of the economy, although also other factors influence the development of transportation, e.g. government policy, environmental aspects, and social and behavioural trends. The relationship between the development of transportation and the economy is usually analyzed in terms of the development of GDP and trade. When the GDP grows to a certain level, especially the international transports increase because countries of high GDP produce, consume and thus transport more. An effective transportation system is also a precondition for the economic development. In this study, the following factors were taken into consideration when formulating the future scenarios: maritime transportation in the Gulf of Finland 2007, economic development, development of key industries, development of infrastructure and environmental aspects in relation to maritime transportation. The basic starting points for the three alternative scenarios were: • the slow growth scenario: economic recession • the average growth scenario: economy will recover quickly from current instability • the strong growth scenario: the most optimistic views on development will realize According to the slow growth scenario, the total tonnes for the maritime transportation in the Gulf of Finland would be 322.4 M tonnes in 2015, which would mean a growth of 23 % compared to 2007. In the average growth scenario, the total tonnes were estimated to be 431.6 M tonnes – a growth of 64 %, and in the strong growth scenario 507.2 M tonnes – a growth of 93%. These tonnes were further divided into petroleum products and other cargoes by country, into export, import and domestic traffic by country, and between the ports. For petroleum products, the share of crude oil and oil products was estimated and the number of tanker calls in 2015 was calculated for each scenario. However, the future development of maritime transportation in the GoF is dependent on so many societal and economic variables that it is not realistic to predict one exact point estimate value for the cargo tonnes for a certain scenario. Plenty of uncertainty is related both to the degree in which the scenario will come true as well as to the cause-effect relations between the different variables. For these reasons, probability distributions for each scenario were formulated by an expert group. As a result, a range for the total tonnes of each scenario was formulated and they are as follows: the slow growth scenario: 280.8 – 363 M tonnes (expectation value 322.4 M tonnes)

Asiakkuuksien strateginen arvottaminen ja luokittelu

Tämän tutkimuksen kohdeorganisaatio on suuren teollisuusyrityksen sisäinen raaka-aineen hankkija ja toimittaja. Tutkimuksessa selvitetään, mistä kohdeorganisaation hankinta-asiakkuuksien arvo muodostuu ja kuinka olemassa olevan liiketoimintadatan perusteella voidaan tutkia, arvioida ja luokitella kauppojen ja asiakkuuksien arvokkuutta aikaan sitomatta, objektiivisesti ja luotettavasti. Tutkimuksen teoriaosiossa esitellään lähestymistapoja ja menetelmiä, joiden avulla voidaan jalostaa olemassa olevasta datasta uutta sidosryhmätietämystä liiketoiminnan käyttöön, sekä tarkastellaan asiakaskannattavuusanalyysin, portfolioanalyysin, sekä asiakassegmentoinnin perusteita ja malleja. Näiden teorioiden ja mallien pohjalta rakennetaan kohdeorganisaatiolle räätälöity, indeksoituihin hinta-, määrä- ja kauppojen toistuvuus-muuttujiin perustuva, asiakkuuksien arvottamis- ja luokittelumalli. Arvottamis- ja luokittelumalli testataan vuosien 2003–2007 liiketoimintadatasta muodostetulla 389 336 kaupparivin otoksella, joka sisältää 42 186 arvioitavaa asiakkuussuhdetta. Merkittävin esille nouseva havainto on noin 5 000:n keskimääräistä selkeästi kalliimman asiakkuuden ryhmä. Aineisto ja sen poikkeavuudet testataan tilastollisin menetelmin, jotta saadaan selville asiakkuuden arvoon vaikuttavat ja arvoa selittävät tekijät. Lopuksi pohditaan arvottamismallin merkitystä analyyttisemman ostotoiminnan ja asiakkuudenhallinnan välineenä, sekä esitetään muutamia parannusehdotuksia.

Palvelulogistiikan analysointimenetelmän mallinnus ja ideointi ateriapalvelutoiminnoissa

Ateriapalvelujen tuottamiseen sovellettua palvelulogistiikan tutkimustietoa on julkaistu hyvin rajallisesti eikä aihetta ole kovin laajalti tutkittu liiketoiminnan kehittämisen näkökulmasta. Tämän työn tavoitteena on mallintaa konsultointityöhön sopiva ateriapalvelulogistiikan analysointimenetelmä, jolla voidaan havainnoida ominaisuuksiltaan vastaavia tulevaisuuden asiakasprojekteja. Työssä selvitetään ensin kirjallisuustutkimuksen avulla aiheeseen sekä sen käsittelyyn sopivia tieteellisiä tutkimuksia ja julkaisuja. Aihetta tutkitaan arvon muodostumisen, kustannusvaikutusten sekä toimitusketjun kehittämisen näkökulmista. Lisäksi huomioidaan palvelujen ja palveluprosessien osuus palvelulogistiikan kehittämisessä. PALO -projektin suunnitelmassa kuvatulla tuotanto- ja kustannustehokkaalla keskuskeittiömallilla voidaan saavuttaa massaräätälöinnin etujen lisäksi myös nykytilaa ketterämpi tuotantoketju. Uusi palvelulogistiikkaketju vaikuttaa samalla myös arvoverkkoon sekä asiamuodostumiseen. Uudistusten avulla voidaan mahdollisesti säästää varoja ja samalla vapautuvia resursseja voidaan kohdistaa asiakastyytyväisyyttä lisääviin toimenpiteisiin. Mallinnettava menetelmä on osoittautunut havainnoidussa asiakasprojektissa toimivaksi. Menetelmää voidaan toki edelleen kehittää asiakasprojektien vaatimusten mukaan, mutta työssä on onnistuttu kuvaamaan toimiva menetelmän perusmalli.

Tietoteknisten palveluiden tuottaminen strategisena kumppanuutena - case Rajavartiolaitos

Tutkimuksen tarkoituksena on selvittää laajennettujen transaktiokustannustarkastelun avulla tietoteknisten palveluiden hankintaa strategisena kumppanuutena. Tutkimus kuvaa empiirisen esimerkkitapauksen kautta ulkoistuksen kokonaisvaikuttavuutta eli kumppanuuden hyötyjä ja haittoja asiakkaan kannalta tilanteessa, jossa julkisen sektorin tehtävien uudelleenorganisoinnissa ei ole käytettävissä tehokkaita markkinoita. Kumppanuuden kokonaisvaikuttavuuden elementtien merkitys asiakkaalle on asiakkaan ja palveluntuottajan näkökulmista erilaisia. Asiakas pitää transaktiokustannuksia ja byrokratiahyötyjä tärkeinä. Toimittaja taas koros-taa transaktiohyötyjä ja byrokratiakustannuksia.

Analyzing customer profitability: an empirical study

The purpose of this study was to define the customer profitability of the case company as well as to specify the factors that explain customer profitability. The study was made with a quantitative research method. The research hypotheses were formulated mainly on the grounds of previous research, and were tested with statistical research methods. The research results showed that customer profitability is not equally distributed among the customers of the case company, and the majority of its customers is profitable. The interpreters for absolute customer profitability were sales volume and the customer’s location region. The interpreters for relative customer profitability were the customer’s location region and the product segment into which a customer can be classified on the basis of the products that were sold to this customer.

Creating a customer profitability accounting model

Customer profitability accounting is a well-researched topic in the academic field, and it has been proved to posses rather undisputable benefits. However, the calculation of the customer profitabilities can be challenging, therefore the usage of the accounting is not self-explanatory in organizations. The aim of this study was to create a customer profitability accounting model for a wholesales unit in the case company to function as a sales management tool. The literature review of the study presents certain fundamental issues related to customer profitability accounting, in addition a theoretical framework for accounting model design is provided. The creation of the model was commenced by setting the requirements for it and examining the foundation of the model design, which consisted of for instance price setting and cost structure of products. This was followed by selecting approaches to the creation of the model. The result of the study was an accounting model, for which a determination of included revenues and costs was executed, along with the formulation of an allocation criteria of the costs. Lastly, the customer profitabilities were calculated in accordance with the accounting principles and the calculation logic of the model. The attained figures proved the model to provide an appropriate solution for obtaining the customer profitabilities and thus to use the accounting information as a sales management tool in for instance decision making and negotiation situations.

Älykkäät lääkkeenjakoratkaisut:Liiketoimintakonseptien nykytila

Älykkäille lääkkeenjakoratkaisuille tulee luultavasti olemaan tulevaisuudessa suuri kysyntä, sillä asiakasmäärät ja julkisen terveydenhuollon resurssit eivät kohtaa toisiaan. Säilyttääksemme yhteiskuntamme terveydenhuollon tason kohtuullisilla kustannuksilla on ainoana mahdollisuutena alan uudet innovaatiot. Älykkäillä lääkkeenjakoratkaisuilla tarkoitetaan älykkäitä lääkepakkauksia tai muita lääkintään liittyviä tuotteita tai palveluja, jotka mahdollistavat teknologisen edistyksellisyyden avulla ihmistyömäärän vähentämisen terveydenhuollossa. Raportti esittelee tapaustutkimuksen alustavia tuloksia, joissa on tarkoituksena tuoda esille yleiskatsaus tuotteista ja asiakaseduista. Tuotteet on kuvattu niihin liittyvien liiketoimintamallinen tarjoomien avulla. Analyysi rakentuu liiketoimintamallin neljän peruspilarin mukaisesti, Tuote, Asiakassuhde, Rakenne, ja Talous, jotka määrittävät mallin asiakasarvon. Lähtökohtana liiketoimintamallien mittaamisessa on neljä arvon päämittaria: tekniset, taloudelliset, palvelulliset, ja sosiaaliset attribuutit. Esimerkin avulla voidaan huomata, että tarjoamaa markkinoilla on vakiintumaton. Yksi malli painotti lääkkeiden annosjakelun tehokkuutta, toinen nautittujen lääkkeiden oton valvontaa ja kolmas yritti pärjätä molemmissa. Suurimmat hyödyt voidaan nähdä, jos pystytään yhdistämään koneellinen jakelu älykkäisiin jakelulaitteisiin.

Towards open access networks – prototyping with the Lappeenranta model

The provision of Internet access to large numbers has traditionally been under the control of operators, who have built closed access networks for connecting customers. As the access network (i.e. the last mile to the customer) is generally the most expensive part of the network because of the vast amount of cable required, many operators have been reluctant to build access networks in rural areas. There are problems also in urban areas, as incumbent operators may use various tactics to make it difficult for competitors to enter the market. Open access networking, where the goal is to connect multiple operators and other types of service providers to a shared network, changes the way in which networks are used. This change in network structure dismantles vertical integration in service provision and enables true competition as no service provider can prevent others fromcompeting in the open access network. This thesis describes the development from traditional closed access networks towards open access networking and analyses different types of open access solution. The thesis introduces a new open access network approach (The Lappeenranta Model) in greater detail. The Lappeenranta Model is compared to other types of open access networks. The thesis shows that end users and service providers see local open access and services as beneficial. In addition, the thesis discusses open access networking in a multidisciplinary fashion, focusing on the real-world challenges of open access networks.

TransPromo communication as a part of company’s marketing communications when the e-bill is a medium

The goal of this thesis was to research what TransPromo is, why companies want to implement TransPromo communication, and what the elements of effective Transpromo communication are. Furthermore, the goal was to develop a TransPromo communication strategy and a normative model for TeliaSonera Finland, which depicts the elements of effective TransPromo communication when the electronic bill is a medium. Abductive reasoning was utilized in this thesis, which means that empirical and theoretical worlds are alternating in researcher’s reasoning process. This thesis didn’t rely on any specific theory nor did it utilize any previous theoretical model. However, certain theoretical connections existed so this thesis cannot be considered purely inductive. The empirical part of this thesis was conducted by examining secondary industry data and by conducting specialist interviews at TeliaSonera Finland and Strålfors. Grounded Theory approach was utilized in the analysis of the interview data and content analysis was used in the analysis of secondary industry data. This thesis increases knowledge in the area of TransPromo communication, and provides one definition of TransPromo communication. As a result of this thesis, a TransPromo communication strategy and a normative model for TeliaSonera Finland was built. The model depicts the elements of the effective TransPromo communication when the e-bill is a medium. The TranPromo communication objective is to utilize transaction documents, such as bills, in order to deliver targeted and personalized marketing messages to current customers. The aim is to strengthen the customer relationship, and to enforce up-sell and cross-sell opportunities and cost savings.

Theoretical background for market emergence framework : Case: Electricity Distribution Industry

Both the competitive environment and the internal structure of an industrial organization are typically included in the processes which describe the strategic management processes of the firm, but less attention has been paid to the interdependence between these views. Therefore, this research focuses on explaining the particular conditions of an industry change, which lead managers to realign the firm in respect of its environment for generating competitive advantage. The research question that directs the development of the theoretical framework is: Why do firms outsource some of their functions? The three general stages of the analysis are related to the following research topics: (i) understanding forces that shape the industry, (ii) estimating the impacts of transforming customer preferences, rivalry, and changing capability bases on the relevance of existing assets and activities, and emergence of new business models, and (iii) developing optional structures for future value chains and understanding general boundaries for market emergence. The defined research setting contributes to the managerial research questions “Why do firms reorganize their value chains?”, “Why and how are decisions made?” Combining Transaction Cost Economics (TCE) and Resource-Based View (RBV) within an integrated framework makes it possible to evaluate the two dimensions of a company’s resources, namely the strategic value and transferability. The final decision of restructuring will be made based on an analysis of the actual business potential of the outsourcing, where benefits and risks are evaluated. The firm focuses on the risk of opportunism, hold-up problems, pricing, and opportunities to reach a complete contract, and finally on the direct benefits and risks for financial performance. The supplier analyzes the business potential of an activity outside the specific customer, the amount of customer-specific investments, the service provider’s competitive position, abilities to revenue gains in generic segments, and long-term dependence on the customer.

Enhancing Customer Knowledge and Its Sharing At a Paper Production Line

This study has been made for specific paper production line at an international forest industry company in Finland. The main purpose for the study was a need to examine the current situation of the customer knowledge and its’ sharing at case production line, recognize the problems in it and finally, find out the improvement actions. The study is composed of theoretical and empirical parts. In theoretical part, knowledge management and information sharing in addition to customer knowledge management are presented. Empirical data from case production line was collected by using survey questionnaires. The results are analyzed in discussion and conclusions and finally, study ends with summary which includes recommendations. Based on the study, the amount and quality of customer knowledge and gaining and transferring the customer knowledge were found as the main challenges. The proposed solutions were discovered from moving towards more dynamic operating environment and in the area of customer knowledge management, especially from the communities of creation.

Palvelutuotteiden kehitysmalli kansainvälisessä verkostossa toimivalle yritykselle

Työn tavoitteena oli luoda palvelutuotteiden kehitysmalli kansainvälisessä verkostossa toimivalle teollisuusyritykselle. Lisäksi työssä luotiin katsaus keskeisimpiin menestystekijöihin laitevalmistajasta palvelutarjoajaksi muuntautumisessa. Mallin kehittäminen aloitettiin kirjallisuuskatsauksella palveluiden tuotteistamiseen ja kehittämiseen, palveluliiketoimintaan sekä laitevalmistajasta palvelutarjoajaksi muuntautumiseen. Tämän lisäksi suoritettiin kohdeyrityksen palveluliiketoiminnan lähtötilanteen kartoitus. Tulevaisuuden visioon lähtötilanteesta pääsemiseksi luotiin kehitysmalli, jolla palvelutarpeista ja -ideoista saadaan tuotteistettua palvelutuote, joka voidaan liittää palvelutarjoamaan kansainvälisen verkoston toteutettavaksi. Palvelujen osuus laitevalmistusyrityksillä on voimakkaassa kasvussa. Palvelutuotantoon siirtymisen keskeisiä syitä ovat laitevalmistajan asiakkaiden arvonluontiprosesseja tukevan osaamisen tuotteistaminen, palveluiden tehokkaan tuottamisen mahdollistaminen sekä kilpailijoista erottautuminen. Palveluliiketoiminnan kehittäminen on laaja kokonaisuus. Työn keskeisenä tuloksena oli osaltaan edistää palvelutuotannon alkamista ja antaa työvälineet palvelutuotteiden edelleen kehittämiselle. Esiin tulleita jatkotutkimuksen aiheita ovat esimerkiksi palvelutoimitusten asiakkaan kokema laatu sekä millaisia haasteita pitkät laitevalmistusperinteet omaava teollisuusyritys kohtaa muuntuessaan ratkaisutoimittajaksi.

Customer knowledge processing in key account management

The ability of the supplier firm to generate and utilise customer-specific knowledge has attracted increasing attention in the academic literature during the last decade. It has been argued the customer knowledge should treated as a strategic asset the same as any other intangible assets. Yet, at the same time it has been shown that the management of customer-specific knowledge is challenging in practice, and that many firms are better at acquiring customer knowledge than at making use of it. This study examines customer knowledge processing in the context of key account management in large industrial firms. This focus was chosen because key accounts are demanding and complex. It is not unusual for a single key account relationship to constitute a complex web of relationships between the supplier and the key account – thus easily leading to the dispersion of customer-specific knowledge in the supplier firm. Although the importance of customer-specific knowledge generation has been widely acknowledged in the literature, surprisingly little attention has been paid to the processes through which firms generate, disseminate and use such knowledge internally for enhancing the relationships with their major, strategically important key account customers. This thesis consists of two parts. The first part comprises a theoretical overview and draws together the main findings of the study, whereas the second part consists of five complementary empirical research papers based on survey data gathered from large industrial firms in Finland. The findings suggest that the management of customer knowledge generated about and form key accounts is a three-dimensional process consisting of acquisition, dissemination and utilization. It could be concluded from the results that customer-specific knowledge is a strategic asset because the supplier’s customer knowledge processing activities have a positive effect on supplier’s key account performance. Moreover, in examining the determinants of each phase separately the study identifies a number of intra-organisational factors that facilitate the process in supplier firms. The main contribution of the thesis lies in linking the concept of customer knowledge processing to the previous literature on key account management. Moreover, given than this literature is mainly conceptual or case-based, a further contribution is to examine its consequences and determinants based on quantitative empirical data.

Modeling and developing a customer-oriented configuration process in a mass customization environment

In this thesis the main objective is to examine and model configuration system and related processes. When and where configuration information is created in product development process and how it is utilized in order-delivery process? These two processes are the essential part of the whole configuration system from the information point of view. Empirical part of the work was done as a constructive research inside a company that follows a mass customization approach. Data models and documentation are created for different development stages of the configuration system. A base data model already existed for new structures and relations between these structures. This model was used as the basis for the later data modeling work. Data models include different data structures, their key objects and attributes, and relations between. Representation of configuration rules for the to-be configuration system was defined as one of the key focus point. Further, it is examined how the customer needs and requirements information can be integrated into the product development process. Requirements hierarchy and classification system is presented. It is shown how individual requirement specifications can be connected for physical design structure via features by developing the existing base data model further.