Secondary Aural Symptoms in Relation to Cranio-Cervical and General Disorders

The present thesis comprises two study populations. The first study sample (SS1) consisted of 411 adults examined and interviewed at three annual visits. The second study sample (SS2) consisted of 1720 adults who filled in a mailed questionnaire about secondary otalgia, tinnitus and fullness of ears. In the second phase of the SS2, 100 subjects with otalgia were examined and interviewed by specialist in stomatognathic physiology and otorhinolaryngology. In the third phase, 36 subjects participated in a randomized, controlled and blinded trial of effectiveness of occlusal appliance on secondary otalgia, facial pain, headache and treatment need of temporomandibular disorders (TMD). The standardized prevalence of recurrent secondary otalgia was 6%, tinnitus 15% and fullness of ears 8%. Aural symptoms were more frequent among young than old subjects. They were associated with other, simultaneous aural symptoms, TMD pain, head and neck region pain, and visits to a physician. The subjects with aural symptoms more often had tenderness on palpation of masticatory muscles and clinical signs of temporomandibular joint than the subjects without. 85% of the subjects reporting secondary otalgia had cervical spine or temporomandibular disorder or both. In SS1, the final model of secondary otalgia included active need treatment for TMD, elevated level of stress symptoms, and bruxism. In SS2, the final models of aural symptoms included associated aural symptoms, young age, TMD pain, headache and shoulder ache. Stabilization splint more effectively alleviated secondary otalgia and active treatment need for TMD than a palatal control splint. In patients with aural pain, tinnitus or fullness of ears, it is important to first rule out otologic and nasopharyngeal diseases that may cause the symptoms. If no explanation for aural symptoms is found, temporomandibular and cervical spine disorders should be rouled out to minimize unnecessary visits to a physician.

Growth, yield and secondary metabolite production of Drosera species cultivated in peat beds in Finland

Tiivistelmä

Factors affecting the snow and wind induced damage of a montane secondary forest in northeastern China

Abstract

Effects of defoliation height on regrowth of timothy and meadow fescue in the generative and vegetative phases of growth

Selostus: Leikkuukorkeuden vaikutus timotein ja nurminadan jälkikasvuun generatiivisessa ja vegetatiivisessa kasvuvaiheessa

Tuotteen valmistuksen kehittäminen kaizen-projektin avulla

Diplomityön tavoitteena oli laatia Abloy Oy:n ovensuljinyksikölle malli kaizenprojektille sekä toteuttaa yksi tällainen kehitysprojekti. Kaizen on japania ja tarkoittaa suomeksi jatkuvaa parantamista. Kaizen on pienin askelin tapahtuvaa jatkuvaa kehittämistä, joka perustuu vanhan osaamisen tehokkaampaan hyväksikäyttöön. Teoriaosuudessa tutustutaan kirjallisuuden perusteella lean- ja JOT-teorioihin, jotka ovat osa Abloy Oy:n yrityksen strategiaa. Niiden lähestymistapa on hyvin asiakaslähtöinen. Kaizen-projekteilla pystytään kehittämään omaa toimintaa parantaen samalla asiakaspalvelua. Kaizen-projektin tavoitteena oli poistaa mahdollisimman paljon lisäarvoa tuottamattomia toimintoja aukipitolaitteen DC191 valmistuksesta ja saada tuotteen kokonaisläpimenoaikaa lyhyemmäksi. Tavoitteena oli myös lisätilan järjestäminen mahdollisesti tuleville kokoonpanopöydille. Projektin avulla aukipitolaitteen DC191 valmistuksesta poistettiin paljon turhia työvaiheita.Lisäksi selvitettiin ja ratkaistiin valmistuksen pahimmat ongelmat.

Mangaaniseosteisen duplex-teräksen hitsattavuus

Diplomityön tavoitteena oli selvittää mangaaniseosteisen LDX2101 duplex-teräksen ja LDX2101 hitsauslisäaineiden hitsausparametrit puikkohitsaus-, MAG-täytelankahitsaus- ja plasmahitsausprosessilla. Toisena tavoitteena oli selvittää lämmöntuonnin vaikutuksia hit-sausliitosten mekaanisiin ominaisuuksiin, iskusitkeyteen (-40 °C) ja ferriitti- / austeniittipitoi-suuksien jakaantumiseen. Tutkittavat hitsit olivat päittäishitsejä ja koelevyjen aineenpaksuus oli 6 mm. Koetulosten perusteella tehtiin hitsausohjeet kyseisille hitsausprosesseille. Työn kirjallisessa osassa on selvitetty yleisesti duplex-terästen käyttökohteita, mekaanisia ja kemiallisia ominaisuuksia sekä duplex-terästen korroosio-ominaisuuksia. Lisäksi on käsitelty eri hitsausprosesseja ja duplex-terästen hitsattavuutta, jossa selvitetään mm. terästen jähmet-tymistä, erkaumia ja faaseja, lämmöntuonnin vaikutuksia ja hitsausliitosten korroosionkestä-vyyttä. Teoriaosassa on kerrottu myös hitsausliitosten tarkastuksesta ja hitsiluokista. Työn kokeellisessa osassa esitellään kokeiden suoritus sekä ainetta rikkova ja ainetta rikko-maton tarkastus. Liitoksille suoritettava koestusohjelma noudatti pääosin menetelmäkoestan-dardin SFS-EN 15614-1 ohjetta. Hitseille tehtiin ainetta rikkomaton tarkastus, joka käsittää silmämääräisen tarkastuksen, pintatarkastuksen ja röntgentarkastuksen. Rikkovaa aineen-koetusta tehtiin sisältäen kovuusmittaukset, vetokokeet, taivutuskokeet jaiskusitkeyskokeet. Lisäksi valmistettiin metallografiset hieet, joita tutkimalla selvitettiin hitsausliitoksen metal-lurgiaa ja määriteltiin ferriitti- ja austeniittipitoisuudet. Kokeiden perusteella on laadittu hit-sausohjeet kullekin hitsausprosessille. Lisäksi kokeellisessa osassa on esitelty tulokset syö-pymäkokeesta, jossa selvitettiin eri materiaalien syöpymiskestävyyttä valkolipeäliuoksessa. Tutkimustuloksien perusteella LDX2102 duplex-materiaali onhyvin hitsattavaa laajalla hit-sausparametrialueella. Mekaaniset ominaisuudet, kuten lujuus- ja iskusitkeysarvot täyttävät materiaalistandardin SFS-EN10028-7 niille asettamat vaatimukset. Taivutussitkeys ja murto-venymät jäivät kuitenkin osalla koekappaleista vaatimustasoa alhaisemmiksi. Austeniitti- ja ferriittipitoisuudet vastaavat materiaalistandardin vaatimuksia.

Supporting knowledge creation and sharing in the early phases of the strategic innovation process

The driving forces of technology and globalization continuously transform the business landscape in a way which undermines the existing strategies and innovations of organizations. The challenge for organizations is to establish such conditions where they are able to create new knowledge for innovative business ideas in interaction between other organizations and individuals. Innovation processes continuously need new external stimulations and seek new ideas, new information and knowledge locating more and more outside traditional organizational boundaries. In several studies, the early phases of the innovation process have been considered as the most critical ones. During these phases, the innovation process can emerge or conclude. External knowledge acquirement and utilization are noticed to be important at this stage of the innovation process giving information about the development of future markets and needs for new innovative businessideas. To make it possible, new methods and approaches to manage proactive knowledge creation and sharing activities are needed. In this study, knowledge creation and sharing in the early phases of the innovation process has been studied, and the understanding of knowledge management in the innovation process in an open and collaborative context advanced. Furthermore, the innovation management methods in this study are combined in a novel way to establish an open innovation process and tested in real-life cases. For these purposes two complementary and sequentially applied group work methods - the heuristic scenario method and the idea generation process - are examined by focusing the research on the support of the open knowledge creation and sharing process. The research objective of this thesis concerns two doctrines: the innovation management including the knowledge management, and the futures research concerning the scenario paradigm. This thesis also applies the group decision support system (GDSS) in the idea generation process to utilize the converged knowledge during the scenario process.

Multispectral Analysis of Paper Production Phases

Paperitehtaissa paperin väriä arvioidaan L*a*b –arvojen perusteella. Tämä lähestymistapa ei ole tarkka ja johtaa siihen, että saman luokkaan kuuluvat paperit saatetaan havaita eri värisinä. Tässä diplomityössä tarkastellaan värien arviointia multispektraalisen kuvantamisen avulla. Menetelmän ajatuksena on verrata standardoidun heijastuman spektriä kohteena olevan paperirullan heijastuman spektriin mittaustapojen avulla. 12:n kirjallisuuteen perustuvan ja yhden tutkimusryhmämme kehittämän mittaustavan joukosta pyrittiin valitsemaan parhaat mittaustavat tutkimuksien perusteella. Mittaustavan tehokkuus tarkoittaa kykä tunnistaa eroavaisuuksia värisävyn, värikylläisyyden ja valoisuuden perusteella. Mittaustapoja tutkittiin sekä keinotekoisilla kuvilla että aidoilla paperinäytteillä. Tuloksena maksimi-minimi-, aritmeettisen keskiarvon minimi- ja geometrisen keskiarvon minimimenetelmä olivat parhaita mittaustapoja.

The Early Phases of Innovation Process - Case: New Wireless E-Business Opportunities in Forest Industry

Tutkimuksen tavoitteena oli soveltaa innovaatioprosessiteorioita käytäntöön konteksti huomioonottaen, koska langattoman sähköisen liiketoiminnan nopeat muutokset, metsäteollisuuden erityispiirteet ja ei-kaupallisuus asettavat erityistarpeita innovoinnille. Painopiste on prosessin aikaisissa vaiheissa, koska ne ovat kriittisiä koko innovaatioprosessin menestymisen kannalta. Tähtäimenä oli löytää yrityssektorille uusia langattomia sähköisen liiketoiminnan mahdollisuuksia, jotka hyödyttävät tutkimuksessa mukanaolevaa yritystä. Tutkimuksessa käytettiin konstruktiivista tutkimusotetta ja metodeina sähköistä aivomyrskyä, tarkistuslistaa sekä GDSS- ja postikyselyä.Tutkimuksen tuloksena on esitetty innovaatioprosessin aikaiset vaiheet kirjallisuudesta, metsäteollisuuden erityispiirteet ja innovaatioprosessisovellus. Lisäksi tämä tutkimus tuotti uusia sähköisen liiketoiminnan ideoita, suoritti niille seulonnan ja kävi läpi alustavan tutkimuksen.

Neck Muscle Function and Adolescent Headache

Muscular function of the neck region may be of importance for the etiology of headache, especially of tension-type headache. However, very few data exist on the association of neck muscle function with different types of headache in adolescents. The main aim of the study was to examine the association of neck muscle function with adolescent headache. The associations between leisure time activities, endurance strength of the upper extremities (UE endurance) and mobility of the neck-shoulder region and adolescent headache were studied. In addition, the associations of force production, EMG/force ratio, co-activation and fatigue characteristics, and cross-sectional area (CSA) of neck muscles with adolescent headache were studied. The study is part of a population-based cohort study of 12-year-old children with and without headache. The study had five phases (years 1998-2003). At the age of 13 years, a sample of 183 adolescents (183/311) participated in endurance strength and mobility measurements of the neck-shoulder region. In addition, the type and level of physical and other leisure activity were elicited with open and structured questions. At the age of 17 years, a random sample of 89 adolescents (89/202) participated in force and EMG measurements of the neck-shoulder muscles. In addition, at the age of 17 years, a sample of 65 adolescents (65/89) participated in CSA measurements of the neck muscles. At the age of 13 years, intensive participation in overall sports activity was associated with migraine. Frequent computer use was associated both with migraine and tension-type headache. The type of sports or other leisure activity classified them on the basis of body loading was not associated with headache type. In girls, low UE endurance of both sides, and low cervical rotation of the dominant side, were associated with tension-type headache, and low UE endurance of non-dominant side with migraine. In boys, no associations occurred between UE endurance and mobility variables and headache types. At the age of 17 years, in girls, high EMG/force ratios between the EMG of the left agonist sternocleidomastoid muscle (SCM) and maximal neck flexion and neck rotation force to the right side as well as high co-activation of right antagonist cervical erector spinae (CES) muscles during maximal neck flexion force were associated with migraine-type headache. In girls, neck force production was not associated with headache types but low left shoulder flexion force was associated with tension-type headache. In boys, no associations were found between EMG and force variables and headache. Increased SCM muscles fatigue of both sides was associated with tension-type headache. In boys, the small CSA of the right SCM muscle and, in girls, of combined right SCM and scalenus muscles was associated with tension-type headache. Similarly, in boys, the large CSA of the right SCM muscle, of the combined right SCM and scalenus muscles, of the left semispinalis capitis muscle, of the combined left semispinalis and splenius muscles was associated with migraine. No other differences in the CSA of neck flexion or extension muscles were found. Differences in the neuromucular function of the neck-shoulder muscles were associated with adolescent headache, especially in girls. Differences in the cross-sectional area of unilateral neck muscles were associated with headache, especially in boys. Differences in the neuromuscular function and in the cross-sectional area of the neck muscles also occurred between different types of headache. It remains to be established whether the findings are primary or secondary to adolescent migraine and tension headache. Keywords: adolescent, cross-sectional area, electromyography, endurance strength, fatigue, force, headache, leisure time activity, migraine, mobility, neck muscles, tension-type headache

Type II aromatic polyketide biosynthetic tailoring enzymes: diversity and adaptation in Streptomyces secondary metabolism.

Members of the bacterial genus Streptomyces are well known for their ability to produce an exceptionally wide selection of diverse secondary metabolites. These include natural bioactive chemical compounds which have potential applications in medicine, agriculture and other fields of commerce. The outstanding biosynthetic capacity derives from the characteristic genetic flexibility of Streptomyces secondary metabolism pathways: i) Clustering of the biosynthetic genes in chromosome regions redundant for vital primary functions, and ii) the presence of numerous genetic elements within these regions which facilitate DNA rearrangement and transfer between non-progeny species. Decades of intensive genetic research on the organization and function of the biosynthetic routes has led to a variety of molecular biology applications, which can be used to expand the diversity of compounds synthesized. These include techniques which, for example, allow modification and artificial construction of novel pathways, and enable gene-level detection of silent secondary metabolite clusters. Over the years the research has expanded to cover molecular-level analysis of the enzymes responsible for the individual catalytic reactions. In vitro studies of the enzymes provide a detailed insight into their catalytic functions, mechanisms, substrate specificities, interactions and stereochemical determinants. These are factors that are essential for the thorough understanding and rational design of novel biosynthetic routes. The current study is a part of a more extensive research project (Antibiotic Biosynthetic Enzymes; www.sci.utu.fi/projects/biokemia/abe), which focuses on the post-PKS tailoring enzymes involved in various type II aromatic polyketide biosynthetic pathways in Streptomyces bacteria. The initiative here was to investigate specific catalytic steps in anthracycline and angucycline biosynthesis through in vitro biochemical enzyme characterization and structural enzymology. The objectives were to elucidate detailed mechanisms and enzyme-level interactions which cannot be resolved by in vivo genetic studies alone. The first part of the experimental work concerns the homologous polyketide cyclases SnoaL and AknH. These catalyze the closure of the last carbon ring of the tetracyclic carbon frame common to all anthracycline-type compounds. The second part of the study primarily deals with tailoring enzymes PgaE (and its homolog CabE) and PgaM, which are responsible for a cascade of sequential modification reactions in angucycline biosynthesis. The results complemented earlier in vivo findings and confirmed the enzyme functions in vitro. Importantly, we were able to identify the amino acid -level determinants that influence AknH and SnoaL stereoselectivity and to determine the complex biosynthetic steps of the angucycline oxygenation cascade of PgaE and PgaM. In addition, the findings revealed interesting cases of enzyme-level adaptation, as some of the catalytic mechanisms did not coincide with those described for characterised homologs or enzymes of known function. Specifically, SnoaL and AknH were shown to employ a novel acid-base mechanism for aldol condenzation, whereas the hydroxylation reaction catalysed by PgaM involved unexpected oxygen chemistry. Owing to a gene-level fusion of two ancestral reading frames, PgaM was also shown to adopt an unusual quaternary sturucture, a non-covalent fusion complex of two alternative forms of the protein. Furthermore, the work highlighted some common themes encountered in polyketide biosynthetic pathways such as enzyme substrate specificity and intermediate reactivity. These are discussed in the final chapters of the work.

The Management of Intellectual Capital in the Early Phases of Project Marketing

This study aims at enhancing understanding and deriving new constructs about the management of intellectual capital in the early phases of project marketing. The research methodology employed is deductive; conceptual reasoning is based on existing literature. The study's knowledge base is drawn from the bodies of literature dealing with project, relationship, and industrial marketing, as well as from the literature dealing with mechanical engineering, network approach, systems selling, R&D, project portfolio, strategic, financial, and knowledge management. As a result, three processes, 32 summaries and 19 conclusions give to the management of intellectual capital meaning in the context of project marketing. These conclusions and synthesis are proposed to improve the existing concepts and models in project marketing.