Tuotannonsuunnittelun analysointi ja kehittäminen eräällä sahalaitoksella

Diplomityön tavoitteena oli analysoida ja kehittää työn toimeksiantajan UPM-Kymmene Wood Oy Korkeakosken sahan tuotannonsuunnittelua. Työn tärkein tavoite on saada selkeä toimintamalli tuotannonsuunnitteluun, jonka avulla pystytään läpäisemään 300 000 m3:n tai jopa tulevaisuudessa 320 000 m3:n vuosituotanto. Tuotannonsuunnittelulle asetettavat perusvaatimukset ovat raaka-aineen, tuotannon ja myynnin yhteensovittaminen, tilausten oikea-aikainen valmistus ja toimitus, asiakastyytyväisyys, laadun tasaisuus, reklamaatioiden minimointi ja ajosarjojen pituuden maksimointi. Tuotannon suunnittelussa on tärkeää tuntea raaka-aine- ja tuotejakaumat, varastot sekä materiaalivirrat. Tärkeitä osa-alueita tässä tutkimuksessaovat raaka-aine- sekä väli- ja valmisvarastojen seuranta, kierto sekä tuotannonohjaus. Tutkimuksessa perehdytään tuotantoon ja tuotannonsuunnittelun nykyiseen toimintaan ja apuvälineisiin. Tutkimuksen tuloksena kehitettiin tuotannonsuunnitteluun toimintamalli. Se vaatii tuotannonsuunnittelijalta tarkkaa analysointia ja tuotteiden läpimenoaikojen tuntemusta sekä kuivauksen maksimikapasiteetin hyödyntämistä.

Web user interface architecture for advanced planning and scheduling systems Case: Nokia Demand / Supply Planning Applications

In modem hitec industry Advanced Planning and Scheduling (APS) systems provide the basis for e-business solutions towards the suppliers and the customers. One objective of this thesis was to clarify the modem supply chain management with the APS systems and especially concentrate on the area of Collaborative Planning. In order Advanced Planning and Scheduling systems to be complete and usable, user interfaces are needed. Current Visual Basic user interfaces have faced many complaints and arguments from the users as well as from the development team. This thesis is trying to analyze the reasons and causes for the encountered problems and also provide ways to overcome them. The decision has been made to build the new user interfaces to be Web-enabled. Therefore another objective of this thesis was to research and find suitable technologies for building the Web-based user interfaces for Advanced Planning and Scheduling Systems in Nokia Demand/Supply Planning business area. Comparison between the most suitable technologies is made. Usability issues of Web-enabled user interfaces are also covered. The empirical part of the thesis includes design and implementation of a Web-based user interface with the chosen technology for a particular APS module that enables Collaborative Planning with suppliers.

Tilintarkastajan kurinpidollinen vastuu; TILA:n lausunnot 1990-2006

Tutkielman tavoitteena on selvittää kuinka tilintarkastajista tilintarkastuslautakunnalle tehdyt kantelut ovat muuttuneet vuosien 1990–2000 ja 2001–2006 aikana. Tutkimuksen tarkoituksena on tarkastella ovatko kansainvälistymisen aiheuttamat muutokset tilintarkastusta säätelevissä laeissa johtaneet kanteluiden määrälliseen tai laadulliseen muutokseen. Teoreettinen osa tarkastelee tilintarkastusta lainsäädännöllisesti sekä TILA:n tehtäviä tilintarkastusta valvovana elimenä. Empiirinen osa tutkii TILA:lle tehtyjen kanteluiden ratkaisuselosteita vuosien 1990–2000 ja 2001–2006 välillä. Kanteluita tutkitaan sekä määrällisesti että laadullisesti. Tulokset osoittavat että kanteluiden määrässä on tapahtunut muutos; vuosina 2001–2006 kanteluiden määrä on selvästi laskenut. Kanteluiden laadussa, kun sillä käsitetään kanteluiden syy sekä epäilyksen alainen toiminta, ei ole tapahtunut muutosta mutta sanktioiden jakaantumisessa eri toiminnan mukaan puolestaan on tapahtunut muutosta.

Paperin puhtauden parantaminen lajittelun ja muiden prosessiteknisten keinojen avulla

Tämä työ suoritettiin UPM- Kymmene Oyj:n Tervasaaren tehtaan PK 5:llä. PK 5 valmistaa tarrantaustapaperia. Tämän työn tarkoituksena oli löytää eri keinoja paperin puhtauden parantamiseksi. Puhtaamman paperin valmistaminen parantaa paperikoneen kilpailukykyä kilpailijoihinsa nähden sekä vähentää asiakasvalituskustannuksia. Työn kirjallinen osa koostuu kolmesta suuremmasta kokonaisuudesta, joiden tarkoituksena on luoda teoriapohjaa kokeellisen osan suoritusta varten. Kirjallisuusosan pääpaino on kohdistettu PK 5:llä esiintyviin saostumanaiheuttajiin, kuten uuteaineisiin, ASA- liimaan ja mikrobeihin. Tarkemmassa tarkastelussa on kirjallisuusosassa myös painelajittelu ja pyörrepuhdistus. Kokeellisessa osassa suoritettiin PK 5:n prosessissa syntyvien epäpuhtauksien karakterisointi. Suurimmat saostuman aiheuttajat analyysien perusteella olivat puuperäiset uuteaineet ja ASA- liima. Epäorgaanisista aineista päällystyskomponenttina toimiva kaoliini ja sellun mukana tuleva pihkatalkki esiintyi useimpien saostumien komponentteina. Selvityksessä havaittiin, että prosessille vieraita aineita ei löydetty muista, kuin kalanteroidusta paperista analysoiduista tummista täplistä. Tummista täplistä analysoitu styreenin alkuperä voi selittyä mm. prosessiin päässeellä kumilla tai muovilla. PK 5:n prosessissa selvityksen mukaan silikonipohjainen vaahdonestoaine aiheuttaa erittäin suuria tummia saostumia, joten sen pääsy prosessiin tulee estää sellutehtaalla tarkoin. Epäpuhtauksien määrä on suurin PK 5:n prosessissa hylkylinjassa ja lyhyessä kierrossa. Hylyn painelajittelu poistaa hyvin roskia syöttömassasta. Hylyn lajittelun toisen portaan lajittimen rejektin roskapitoisuus on suhteellisen suuri. Rejektin ohjaaminen ulos prosessista vähentää roskaisuuden rikastumista prosessiin. Sakeamassalajittelun sijoittaminen PK 5:n konekyypin jälkeen vähentää roskien päätymistä paperiin. Hylyn painelajittelun ja PP- laitoksen rejektin ohjaaminen sakeamassalajittelun toiseen portaaseen vähentäisi priimakuitutappiota ja roskien määrää käytetyissä massoissa. Seisokin aikaisen putkilinjojen pesujen lopputulos parani huomattavasti BA- pesuaineen käyttöönoton jälkeen. Kyseisen pesuaine soveltuu liuottamaan putkistosta mm. PK 5:llä esiintyvät uuteaine- ja ASA- saostumat. BSA- sellun pH- säädön lopettamisella oli suuri vähentävä vaikutus tummien täplien esiintymistiheyteen. pH- säädössä BSA- tornin pohjalaimennukseen annosteltu lipeä edesauttoi tummien saostumien syntymistä saippuoiden uuteaineita.

Personal Liberty in Psychiatric Care - Towards Service User Involvement

This study explores personal liberty in psychiatric care from a service user involvement perspective. The data were collected in four phases during the period 2000-2006 in psychiatric settings in Finland. Firstly, patient satisfaction and factors associated with user involvement were studied (n = 313). Secondly, patients’ experiences of deprivation of their liberty were explored (n = 51). Thirdly, an overview on patients’ options for lodging complaints was conducted, and all complaints (n = 4645) lodged in Finland from 2000 to 2004 were examined. Fourthly, the effects of different patient education methods on inpatients’ experiences of deprivation of liberty were tested (n = 311). It emerged that patients were quite satisfied, but reported dissatisfaction in restrictions, compulsory care and information dissemination. Patients experienced restrictions on leaving the ward and on communication, confiscation of property and coercive measures as deprivation of liberty. Patients’ experienced these interventions to be negative. In Finland, the patient complaint process is complicated and not easily accessible. In general, patient complaints increased considerably in Finland during the study period. In psychiatric care the number of complaints was quite stable and complaints led more seldom to consequences. An Internet-based patient education system was equivalent with traditional education and treatment as usual in supporting personal liberty during hospital care. This dissertation provides new information about the realization of patients' rights in psychiatric care. In order to improve patients' involvement, systematic methods to increase personal liberty during care need to be developed, the procedures for patients lodging complaints should be simplified, and patients' access to information needs to be ensured using multiple methods.

Relieved after Doctor's Consultation? Primary Health Care Patients' Complaint-related Worries

Worry is one of the central factors in primary health care patients’ experience with their current complaint. Worry is associated with, e.g., patients’ expectations and the outcomes of doctor’s consultations. The aim of this study was to explore primary health care patients’ complaint-related worry and its changes, as well as contributing factors. Furthermore, the reasons behind patients’ pre-consultation worry and possible relief were examined. The study was conducted in a public primary health care centre in Forssa in Southern Finland. Patients, aged 18–39 years, with a current complaint were interviewed before and after a doctor’s consultation. The patients’ characteristics, perceptions of their complaint and their expectations and experiences concerning the consultation were obtained through interviews. In addition, two questionnaires were administered to measure general tendency to illness worry (IWS) and psychiatric symptoms (SCL-90). The patients’ ratings of the intensity of worry and the severity of their complaint were measured with a visual analogue scale (VAS 0–100). Changes in worry were measured by comparing pre- and post-consultation VAS ratings and asking the patients to compare their worry after the consultation with the worry they felt before it. In connection with these ratings the patients also gave reasons for their experiences in their own words. The patients’ doctors assessed the medical severity of the complaints and whether they had found a medical explanation for the complaints. Many patients were very worried before the consultation (65 % scored over 50 points on the VAS). Worry and severity ratings were associated with the duration and course of the complaint, with a general tendency to illness worry and hostility. On average, the patients were less worried after the consultation than before it. Persistent worry was associated with the patients’ uncertainty about their complaint, their perceiving it as severe, expectations for examinations and reporting symptoms of anxiety. Patients were most often worried about the nature of their complaint (e.g. duration or intensity), not knowing what was wrong, the possible harmful effects of the complaint on body functions, the complaint’s prognosis, e.g. will it get better, and their ability to function. Patients were relieved by getting an explanation or treatment or by having a positive view of the complaint’s prognosis. Patients who reported uncertainty (lack of an explanation, worry about the nature of the complaint) or worry about the complaint’s possible bodily harmfulness were relieved by getting an explanation, often accompanied with getting treatment. On the other hand, worries about the ability to function tended to persist. Doctors should bring up patients’ worries for discussion in order to be able to respond to them appropriately. Because it tends to persist, worry about the ability to function should be addressed. Uncertain patients with concerns about their complaint’s bodily harmfulness or psychological consequences need special attention from their doctor.

Pain symptoms and sleep problems among school-aged children. Long-term prevalence changes, and pain symptoms as predictors of later mental health

Children’s pain symptoms and sleep problems are among the most common health complaints. They distract children from activities, decrease the quality of life, contribute to a significant economic burden, and have shown continuity into adulthood. The main aims of this thesis were to investigate long-term changes in the prevalence of pain symptoms and sleep problems among Finnish school-aged children, and the later mental health of those who in childhood experience pain. Prevalence, co-occurrence, and associated psychosocial factors of pain symptoms and sleep problems were also assessed. In study I, prevalence changes in eight-year-old children’s pain symptoms and sleep problems were investigated in three cross-sectional population-based samples (years 1989: n=1038, 1999: n=1035, and 2005: n=1030). In study II, cross-sectional associations between pain symptoms, sleep problems, and psychosocial factors were assessed among 13-18-year-old adolescents (n=2476). In studies III and IV, associations between pain symptoms at age eight (n=6017), and register-based data on antidepressant use and severe suicidality by age 24, were examined in a nationwide birth cohort. Pain symptoms and sleep problems were common and often co-occurred. A considerable number of children’s pain symptoms remained unrecognized by the parents. The prevalence of pain symptoms, sleep problems, and multiple concurrent symptoms approximately doubled from 1989 to 2005. Psychiatric difficulties or demographic factors did not explain the increase. Psychosocial factors that were associated with pain, sleep problems, and a higher number of symptoms, were female sex, psychological difficulties, emotional symptoms, smoking, victimization, and feeling not cared about by teachers. In longitudinal analyses, the child’s own report of headache, and to a smaller degree the parental report of the child’s abdominal pain predicted later antidepressant use. Parental report of the child’s abdominal pain predicted severe suicidality among males. If one of the symptoms is present, health care professionals should inquire about other symptoms as well. Questions should be directed to the children, not only to their parents. Inquiring about psychiatric difficulties, substance use, victimization, and relations with teachers should be included as a part of the assessment. Further studies are needed to clarify the reasons that underlie the increased prevalence rates, and the factors that may increase or decrease the risk for later mental health problems among pain-suffering children.

Anaesthesia and Pain Management for Use in Orthopaedic Day Surgery

Day surgery has gained a large popularity during the last decades. In Finland, 57% of the elective procedures, and 50% at Turku University Hospital, were already conducted on day basis during 2012. The steady growth of day surgery is mostly due to an increased safety in perioperative care and cost-effectiveness. The development of surgical techniques and anaesthetic methods has advanced the modern day surgery and extended the repertory of the procedures for use in day surgery operations. Day surgery also offers certain benefits like reduced risk for hospital-related infections, stress and confusion. Patient satisfaction, regarding several issues, is high. Most concerns and complaints are related to postoperative pain, nausea and vomiting pain and nausea. Pain can hamper recovery and pain management is a crucial factor for hospital discharge. Appropriate pain treatment is effective, safe, easy and economical. A procedure-specific approach and an individually planned, multimodal analgesia should be the basis of modern pain management. The main aim of this thesis was to evaluate the effectiveness and safety of anaesthetic technique and methods in pain treatment of orthopaedic day case surgery, and following conclusions were made. Unilateral spinal block was achieved using hyperbaric bupivacaine with a small dose of clonidine but clonidine prolonged the block. Continuous subacromial bupivacaine was found to be safe but conferring only moderate efficacy in pain care after shoulder arthroscopy. Transdermal fentanyl, 12 g/h, as part of multimodal analgesia, offered a safe and easy option to pain management in this patient group. However, after forefoot surgery, it did not reduce pain any further. In general, pain scores in all patient groups were low and the need for rescue opioid moderate.