6 resultados para NATIONAL COMORBIDITY SURVEY
em Doria (National Library of Finland DSpace Services) - National Library of Finland, Finland
Resumo:
Euroopan unionin energiapolitiikka on luonut paineen parantaa energiatehokkuutta kaikilla energiankäytön aloilla. Merkittävä osa energiasta kulutetaan liikenteessä, joten sähköautojen käyttöönotolla voidaan parantaa energiatehokkuutta merkittävästi. Tämän vuoksi on tarkasteltava sähköautojen laajamittaisen levinneisyyden aiheuttamia vaikutuksia sähköverkolle. Tässä diplomityössä tarkastellaan sähköautojen pikalatauksen verkkovaikutuksia. Tarkastelu painottuu kotilatauksen tarkasteluun taajamissa ja maaseudulla. Kuormituksen kasvu simuloidaan hyödyntäen sähköauton lataukselle laskettua kuormituskäyrää, jonka laskenta perustuu keskimääräiseen henkilöauton liikkumiseen, joka on saatavilla Suomen henkilöliikennetutkimuksesta. Simuloinnin tulosten perusteella sähköauton pikalatauksen verkkovaikutukset ovat merkittäviä keskijänniteverkossa ja pienjänniteverkossa. Suuremmat vaikutukset kohdistuvat pienjänniteverkkoon.
Resumo:
Työn lähtökohtana oli tieto siitä, että Valtiontalouden tarkastusvirasto (VTV) on lähtenyt tarjoamaan kustannuslaskentajärjestelmien sertifiointeja valtion virastoille ja laitoksille. Ensimmäisenä tavoitteena oli selvittää, mitä kustannuslaskentajärjestelmien sertifioiminen valtionhallinnossa tarkoittaa. Työn toisena tavoitteena oli selvittää, miten Maanmittauslaitoksen kustannuslaskenta muuttuu vuoden 2014 vaihteessa tapahtuvan organisaatiouudistuksen johdosta, ja miten ja milloin tämä uusi kustannuslaskentajärjestelmä voidaan sertifioida. Diplomityö toteutettiin tapaustutkimuksena ja empiirinen aineisto kerättiin kvalitatiivisin menetelmin tekemällä organisaation sisäisiä ja ulkoisia haastatteluja. Maanmittauslaitoksen lisäksi haastateltavat osapuolet olivat VTV, Ernst & Young, sertifiointiprosessin lähes läpikäyneen Riista- ja kalatalouden tutkimuslaitoksen entinen ja nykyinen talouspäällikkö, Maa- ja metsätalousministeriö ja Valtiokonttori. Haastatteluiden lisäksi valtion virastoilta ja laitoksilta kysyttiin ovatko he kuulleet VTV:n tarjoamasta sertifiointipalvelusta ja ovatko he kiinnostuneita tästä kyseisestä palvelusta. Työn tuloksista käy ilmi, että VTV:n palvelu etenee samalla tavalla kuin mikä tahansa muu sertifiointiprosessi. VTV:n palvelu eroaa kuitenkin jonkin verran sertifioinnin perusrakenteesta, koska kustannuslaskentajärjestelmien tapauksessa ei ole laadittu yleisiä standardeja kustannuslaskennalle. Tämän vuoksi perusrakenteessa ei ole ollenkaan standardin omistajaa. Standardin omistajan paikalle sijoittuvat laki valtion talousarviosta ja asetus valtion talousarviosta. Maanmittauslaitoksen kustannuslaskenta muuttuu organisaatiouudistuksen myötä odotettua enemmän. Uuden organisaatiorakenteen vuoksi kustannuksia ei tarvitse vyöryttää toimintayksiköille, tulosyksiköille ja vastuualueille. Kustannukset vyörytetään jatkossa vain tuotteille ja projekteille. Maanmittauslaitoksen kannattaa sertifioida uusi kustannuslaskentajärjestelmänsä vuonna 2014, vaikka seuraavien vuosien aikana on tiedossa uusia muutoksia sekä organisaatioon, että tietojärjestelmiin. Ennen varsinaista tarkastusta Maanmittauslaitoksen kustannuslaskentajärjestelmä kuvattiin uudelleen.
Resumo:
The purpose of this research is to examine the appraisal of service station real estate. This is a case research and the case service station is located in Kanta-Häme region in Finland. In the empirical part data consisted of national land survey of Finland’s data, Case corporations financial statements and Haahtela-Kehitys Oy: real estate appraisal 2013 instructions. The aim of this research was to find out whether there is a most suitable method for the appraisal of service station real estate. In this research it was not possible to conclude that one of the appraisal methods was more suitable than the other for service station real estate appraisal. It can be pointed out that selection of the appraisal method depends on several factors such as purpose of the appraisal, available information and the evaluator’s point of view.
Resumo:
Female sexual dysfunctions, including desire, arousal, orgasm and pain problems, have been shown to be highly prevalent among women around the world. The etiology of these dysfunctions is unclear but associations with health, age, psychological problems, and relationship factors have been identified. Genetic effects explain individual variation in orgasm function to some extent but until now quantitative behavior genetic analyses have not been applied to other sexual functions. In addition, behavior genetics can be applied to exploring the cause of any observed comorbidity between the dysfunctions. Discovering more about the etiology of the dysfunctions may further improve the classification systems which are currently under intense debate. The aims of the present thesis were to evaluate the psychometric properties of a Finnish-language version of a commonly used questionnaire for measuring female sexual function, the Female Sexual Function Index (FSFI), in order to investigate prevalence, comorbidity, and classification, and to explore the balance of genetic and environmental factors in the etiology as well as the associations of a number of biopsychosocial factors with female sexual functions. Female sexual functions were studied through survey methods in a population based sample of Finnish twins and their female siblings. There were two waves of data collection. The first data collection targeted 5,000 female twins aged 33–43 years and the second 7,680 female twins aged 18–33 and their over 18–year-old female siblings (n = 3,983). There was no overlap between the data collections. The combined overall response rate for both data collections was 53% (n = 8,868), with a better response rate in the second (57%) compared to the first (45%). In order to measure female sexual function, the FSFI was used. It includes 19 items which measure female sexual function during the previous four weeks in six subdomains; desire, subjective arousal, lubrication, orgasm, sexual satisfaction, and pain. In line with earlier research in clinical populations, a six factor solution of the Finnish-language version of the FSFI received supported. The internal consistencies of the scales were good to excellent. Some questions about how to avoid overestimating the prevalence of extreme dysfunctions due to women being allocated the score of zero if they had had no sexual activity during the preceding four weeks were raised. The prevalence of female sexual dysfunctions per se ranged from 11% for lubrication dysfunction to 55% for desire dysfunction. The prevalence rates for sexual dysfunction with concomitant sexual distress, in other words, sexual disorders were notably lower ranging from 7% for lubrication disorder to 23% for desire disorder. The comorbidity between the dysfunctions was substantial most notably between arousal and lubrication dysfunction even if these two dysfunctions showed distinct patterns of associations with the other dysfunctions. Genetic influences on individual variation in the six subdomains of FSFI were modest but significant ranging from 3–11% for additive genetic effects and 5–18% for nonadditive genetic effects. The rest of the variation in sexual functions was explained by nonshared environmental influences. A correlated factor model, including additive and nonadditive genetic effects and nonshared environmental effects had the best fit. All in all, every correlation between the genetic factors was significant except between lubrication and pain. All correlations between the nonshared environment factors were significant showing that there is a substantial overlap in genetic and nonshared environmental influences between the dysfunctions. In general, psychological problems, poor satisfaction with the relationship, sexual distress, and poor partner compatibility were associated with more sexual dysfunctions. Age was confounded with relationship length but had over and above relationship length a negative effect on desire and sexual satisfaction and a positive effect on orgasm and pain functions. Alcohol consumption in general was associated with better desire, arousal, lubrication, and orgasm function. Women pregnant with their first child had fewer pain problems than nulliparous nonpregnant women. Multiparous pregnant women had more orgasm problems compared to multiparous nonpregnant women. Having children was associated with less orgasm and pain problems. The conclusions were that desire, subjective arousal, lubrication, orgasm, sexual satisfaction, and pain are separate entities that have distinct associations with a number of different biopsychosocial factors. However, there is also considerable comorbidity between the dysfunctions which are explained by overlap in additive genetic, nonadditive genetic and nonshared environmental influences. Sexual dysfunctions are highly prevalent and are not always associated with sexual distress and this relationship might be moderated by a good relationship and compatibility with partner. Regarding classification, the results supports separate diagnoses for subjective arousal and genital arousal as well as the inclusion of pain under sexual dysfunctions.
Resumo:
The objective of this thesis was to identify the determinants of bone strength and predictors of hip fracture in representative samples of Finnish adults. A secondary objective was to construct a simple multifactorial model for hip fracture prediction over a 10-year follow-up period. The study was based on the Health 2000 Survey conducted during 2000 to 2001 (men and women aged 30 years or over, n=6 035) and the Mini-Finland Health Survey conducted during 1978 to 1980 (women aged 45 years or over, n=2 039). Study subjects participated in health interviews and comprehensive health examination. In the Health 2000 Survey, bone strength was assessed by means of calcaneal quantitative ultrasound (QUS). The follow-up information about hip fractures was drawn from the National Hospital Discharge Register. In this study, age, weight, height, serum 25-hydroxyvitamin D (S-25(OH)D), physical activity, smoking and alcohol consumption as well as menopause and eventual HRT in women were found to be associated with calcaneal broadband ultrasound attenuation (BUA) and speed of sound (SOS). Parity was associated with a decreased risk of hip fracture in postmenopausal women. Age, height, weight or waist circumference, quantitative ultrasound index (QUI), S-25(OH)D and fall-related factors, such as maximal walking speed, Parkinson’s disease, and the number of prescribed CNS active medication were significant independent predictors of hip fracture. At the population level, the incremental value of QUS appeared to be minor in hip fracture prediction when the fall-related risk factors were taken into account. A simple multifactorial model for hip fracture prediction presented in this study was based on readily available factors (age, gender, height, waist circumference, and fallrelated factors). Prospective studies are needed to test this model in patient-based study populations.
Resumo:
Finnish Defence Studies is published under the auspices of the National Defence College, and the contributions reflect the fields of research and teaching of the College. Finnish Defence Studies will occasionally feature documentation on Finnish Security Policy. Views expressed are those of the authors and do not necessarily imply endorsement by the National Defence College.