Förteckning öfver framlidne justitiae rådmannen Gustaf Lampenii böcker

Imprimatur: J. M. af Tengström.

Critical elements underpinning the emergence of the medical game ecosystem: gamifying traumatic brain injury rehabilitation in Finland

The healthcare sector is currently in the verge of a reform and thus, the medical game research provide an interesting area of research. The aim of this study is to explore the critical elements underpinning the emergence of the medical game ecosystem with three sub-objectives: (1) to seek who are the key actors involved in the medical game ecosystem and identify their needs, (2) to scrutinise what types of resources are required in medical game development and what types of relationships are needed to secure those resources, and (3) to identify the existing institutions (‘the rules of the game’) affecting the emergence of the medical game ecosystem. The theoretical background consists of service ecosystems literature. The empirical study conducted is based on the semi-structured theme interviews of 25 experts in three relevant fields: games and technology, health and funding. The data was analysed through a theoretical framework that was designed based upon service ecosystems literature. The study proposes that the key actors are divided into five groups: medical game companies, customers, funders, regulatory parties and complementors. Their needs are linked to improving patient motivation and enhancing the healthcare processes resulting in lower costs. Several types of resources, especially skills and knowledge, are required to create a medical game. To gain access to those resources, medical game companies need to build complex networks of relationships. Proficiency in managing those value networks is crucial. In addition, the company should take into account the underlying institutions in the healthcare sector affecting the medical game ecosystem. Three crucial institutions were identified: validation, lack of innovation supporting structures in healthcare and the rising consumerisation. Based on the findings, medical games cannot be made in isolation. A developmental trajectory model of the emerging medical game ecosystem was created based on the empirical data. The relevancy of relationships and resources is dependent on the trajectory that the medical game company at that time resides. Furthermore, creating an official and documented database for clinically valdated medical games was proposed to establish the medical game market and ensure an adequate status for the effective medical games. Finally, ecosystems approach provides interesting future opportunities for research on medical game ecosystems.

Critical elements underpinning the emergence of the medical game ecosystem:gamifying traumatic brain injury rehabilitation in Finland

The healthcare sector is currently in the verge of a reform and thus, the medical game research provide an interesting area of research. The aim of this study is to explore the critical elements underpinning the emergence of the medical game ecosystem with three sub-objectives: (1) to seek who are the key actors involved in the medical game ecosystem and identify their needs, (2) to scrutinise what types of resources are required in medical game development and what types of relationships are needed to secure those resources, and (3) to identify the existing institutions (‘the rules of the game’) affecting the emergence of the medical game ecosystem. The theoretical background consists of service ecosystems literature. The empirical study conducted is based on the semi-structured theme interviews of 25 experts in three relevant fields: games and technology, health and funding. The data was analysed through a theoretical framework that was designed based upon service ecosystems literature. The study proposes that the key actors are divided into five groups: medical game companies, customers, funders, regulatory parties and complementors. Their needs are linked to improving patient motivation and enhancing the healthcare processes resulting in lower costs. Several types of resources, especially skills and knowledge, are required to create a medical game. To gain access to those resources, medical game companies need to build complex networks of relationships. Proficiency in managing those value networks is crucial. In addition, the company should take into account the underlying institutions in the healthcare sector affecting the medical game ecosystem. Three crucial institutions were identified: validation, lack of innovation supporting structures in healthcare and the rising consumerisation. Based on the findings, medical games cannot be made in isolation. A developmental trajectory model of the emerging medical game ecosystem was created based on the empirical data. The relevancy of relationships and resources is dependent on the trajectory that the medical game company at that time resides. Furthermore, creating an official and documented database for clinically validated medical games was proposed to establish the medical game market and ensure an adequate status for the effective medical games. Finally, ecosystems approach provides interesting future opportunities for research on medical game ecosystems

Uudenmaan vesienhoidon toimenpideohjelma vuosille 2016 – 2021

Uudenmaan vesienhoidon toimenpideohjelma sisältää tiedot vesien tilasta sekä tarvittavat toimenpiteet pinta- ja pohjavesien tilan parantamiseksi ja ylläpitämiseksi vesienhoitokaudella 2016 – 2021. Pintavesien ekologinen tila on heikko erityisesti peltovaltaisilla valuma-alueilla ja Suomenlahden rannikkovesissä. Jokien tilaa heikentää erityisesti hajakuormituksen aiheuttama rehevöityminen, mutta myös jokien rakentaminen, säännöstely ja patoaminen. Uudenmaan pintavesien kemiallinen tila on arvioitu suurelta osin hyväksi. Hyvää huonompi kemiallinen tila johtuu pääasiassa ym-päristölaatunormin ylittävistä elohopeapitoisuuksista ahvenessa. Uudellamaalla on 21 pohjavesialuetta, jotka on määritelty kemiallisesti huonoon tilaan. Yleisimpiä syitä kemiallisen tilan heikkenemiseen ovat pohjaveden kloridipitoisuus, liuottimet, torjunta-aineet sekä bensiinin lisäaine MTBE. Toimenpideohjelmassa esitettyjen toimenpiteiden kokonaiskustannukset ovat 372 milj. euroa vuodessa. Tästä 351 milj. euroa on muun lainsäädännön perusteella toteutettavia perus- ja muita perustoimenpiteitä ja 20 milj. euroa vesienhoidon täydentäviä toimen-piteitä. Toimenpiteiden toteutusta edistämään on esitetty lainsäädännöllisiä, taloudellisia, hallinnollisia ja tiedollisia ohjauskeinoja, joille on määritelty toteutusvastuut ja yhteistyötahot.

Åtgärdsprogram för vattenvården i Nyland för åren 2016 – 2021

Åtgärdsprogrammet för vattenvården i Nyland innehåller uppgifter om vattnens status samt om de åtgärder som krävs för att förbättra och upprätthålla yt- och grundvattnens status under förvaltningsperioden 2016 – 2021. Ytvattnens ekologiska status i är svag i synnerhet på de åkerdominerade avrinningsområdena och i Finska vikens kustvatten. Åarnas och älvarnas status försämras särskilt av eutrofiering till följd av diffus belastning, men också av byggande, reglering och uppdämning. Ytvattnens kemiska status i Nyland har till stor del bedömts vara god. Den sämre än goda kemiska statusen beror i huvudsak på de kvicksilverhalter i abborre som överstiger miljökvalitetsnormen. I Nyland finns 21 grundvattenområden som fastställts ha dålig kemisk status. De vanligaste orsakerna till att den kemiska statu-sen försämrats är grundvattnets kloridhalt, lösningsmedel, bekämpningsmedel samt bensintillsatsen MTBE. De sammanlagda kostnaderna för de åtgärder som föreslås i åtgärdsprogrammet är 372 miljoner euro per år. Härav är 351 mil-joner euro grund- och andra åtgärder som ska vidtas med stöd av annan lagstiftning och 20 miljoner euro åtgärder som kom-pletterar vattenvården. Lagstiftningsbaserade, ekonomiska, förvaltningsmässiga och informationsmässiga styrmetoder har presenterats för att främja genomförandet av åtgärderna. Ansvarsområdena och samarbetsparterna för genomförandet av styr-metoderna har fastställts.