A qualitative analysis of immigrant population health practices in the Girona Healthcare Region

The research we present here forms part of a two-phase project - one quantitative and the other qualitative - assessing the use of primary health care services. This paper presents the qualitative phase of said research, which is aimed at ascertaining the needs, beliefs, barriers to access and health practices of the immigrant population in comparison with the native population, as well as the perceptions of healthcare professionals. Moroccan and sub-Saharan were the immigrants to who the qualitative phase was specifically addressed. The aims of this paper are as follows: to analyse any possible implications of family organisation in the health practices of the immigrant population; to ascertain social practices relating to illness; to understand the significances of sexual and reproductive health practices; and to ascertain the ideas and perceptions of immigrants, local people and professionals regarding health and the health system. Methods: qualitative research based on discursive analysis. Data gathering techniques consisted of discussion groups with health system users and semi-structured individual interviews with healthcare professionals. The sample was taken from the Basic Healthcare Areas of Salt and Banyoles (belonging to the Girona Healthcare Region), the discussion groups being comprised of (a) 6 immigrant Moroccan women, (b) 7 immigrant sub-Saharan African women and (c) 6 immigrant and native population men (2 native men, 2 Moroccan men and 2 sub-Saharan men); and the semi-structured interviews being conducted with the following healthcare professionals: (a) 3 gynaecologists, (b) 3 nurses and 1 administrative staff. Results: use of the healthcare system is linked to the perception of not being well, knowledge of the healthcare system, length of time resident in Spain and interiorization of traditional Western medicine as a cure mechanism. The divergences found among the groups of immigrants, local people and healthcare professionals with regard to healthcare education, use of the healthcare service, sexual and reproductive healthcare and reticence with regard to being attended by healthcare personnel of the opposite sex demonstrate a need to work with the immigrant population as a heterogeneous group. Conclusions: the results we have obtained support the idea that feeling unwell is a psycho-social process, as it takes place within a specific socio-cultural situation and spans a range of beliefs, perceptions and ideas regarding symptomology and how to treat it

Sistemas aquosos bifásicos: fundamentos e aplicações para partição/purificação de proteínas

By the year 2005 the world biochemical market will reach an estimated $ 100 billion and separation processes are a vital link between lab discoveries and the fulfillment of this commercialization potential. The practical application of aqueous two-phase systems (ATPS) to extraction processes has been exploited for several years for the recovery of biological products. Unfortunately, this has not resulted in an extensive presence of the technique in commercial processes. In this paper a critical overview of the fundamental thermodynamic properties related to formation of aqueous two-phase systems and their application to extraction and purification of bioparticules is presented.

Tuotannon tuotetiedonhallintajärjestelmän kehittäminen monitehdasyritykselle

Tämän työn tavoitteena oli kehittää monitehdasympäristöön siirtyneen pk-yrityksen tuotannon tuotetiedonhallintaa. Hajautettu tuotanto ja verkostoituminen oli luonut uusia haasteita ja vaatimuksia tuotetiedonhallinnalle. Teoriaosassa selvitettiin mitä tuotannon tuotetiedoilla tarkoitetaan, mitä osa-alueita on hallittava sekä miten niitä voitaisiin hallita kansainvälisesti verkostoituneen yrityksen näkökulmasta. Näiden lisäksi kartoitettiin ja vertailtiin erilaisia kehittämisvaihtoehtoja. Teorioista luotiin itsearviointityökalu kohdeyrityksen tuotannon tuotetiedon nykytilan kuvausta ja –analyysia varten. Löydetyt kehittämistarpeet priorisoitiin ja valituille kehityskohteille pohdittiin ratkaisuehdotuksia kaksivaiheisen kehittämismallin mukaisesti.

Alternativas verdes para o preparo de amostra e determinação de poluentes fenólicos em água

The restricted availability of water sources suitable for consumption and high costs for obtaining potable water has caused an increase of the conscience concerning the use. Thus, there is a high demand for "environmentally safe methods" which are according to the principles of Green Chemistry. Moreover, these methods should be able to provide reliable results for the analysis of water quality for various pollutants, such as phenol. In this work, greener alternatives for sample preparation for phenol determination in aqueous matrices are presented, which include: liquid phase microextraction, solid phase microextraction, flow analysis, cloud point extraction and aqueous two-phase systems.

Preparative separation and purification of sesquiterpenoids from tussilago farfara l. by high-speed counter-current chromatography

Preparative high-speed counter-current chromatography (HSCCC) was successfully applied for separation and purification of sesquiterpenoids from an extract of Tussilago farfara L. with a two-phase solvent system composed of n-hexane-ethyl acetate- methanol-water (1:0.5:1.1:0.3, v/v/v/v). The separation produced a total of 32 mg of tussilagone, 18 mg of 14-acetoxy-7β-(3'-ethyl cis-crotonoyloxy)-lα-(2'-methyl butyryloxy)-notonipetranone and 21 mg of 7β-(3'-ethyl cis-crotonoyloxy)-lα-(2'- methyl butyryloxy)-3,14-dehydro-Z-notonipetranone from 500 mg of the crude extract in one step separation with the purity of 99.5, 99.4 and 99.1%, respectively, as determined by HPLC. The structures of these compounds were identified by ESI-MS, ¹H-NMR and 13C-NMR.

Extraction and isolation of dictamnine, obacunone and fraxinellone from Dictamnus dasycarpus Turcz. by supercritical fluid extraction and high-speed counter-current chromatography

Supercritical fluid extraction was used to extract active compounds from the Chinese traditional medicinal D. dasycarpus under the pressure of 30 MPa and temperature of 45 ºC. Further separation and purification was established by high-speed counter-current chromatography (HSCCC) with a two-phase solvent system composed of n-hexane-ethyl acetate-methanol-water (1:0.8:1.3:0.9, volume ratio). The separation yielded a total of 47 mg of dictamnine, 24 mg of obacunone and 83 mg of fraxinellone from 1.0 g of the crude extract in one step separation with the purity of 99.2, 98.4 and 99.0%, respectively, as determined by HPLC. The chemical structures of these compounds were identified by ESI-MS, IR, ¹H-NMR and 13C-NMR.

Preparative separation of C19-diterpenoid alkaloids from Aconitum carmichaelii Debx by pH‑zone-refining counter-current chromatography

The technique of pH-zone-refining counter-current chromatography was successfully applied to preparatively separate three C19-diterpenoid alkaloids from the crude extracts of Aconitum carmichaelii for the first time using a two-phase solvent system of petroleum ether-ethyl acetate-methanol-water (5:5:1:9, v/v/v/v). Mesaconitine (I), hypaconitine (II), and deoxyaconitine (III) were obtained from 2.5 g of the crude alkaloids in a one-step separation; the yields were 4.16%, 16.96%, and 5.05%, respectively. The purities of compounds I, II, and III were 93.0%, 95%, and 96%, respectively, as determined by HPLC. The chemical structures of the three compounds were identified by electrospray ionization mass spectrometry (ESI-MS) and NMR.

Separation and purification of three stilbenes from the radix of Polygonum cillinerve (Nakai) Ohwl by macroporous resin column chromatography combined with high-speed counter-current chromatography

An effective method for the rapid separation and purification of three stilbenes from the radix of Polygonum cillinerve (Nakai) Ohwl by macroporous resin column chromatography combined with high-speed counter-current chromatography (HSCCC) was successfully established. In the present study, a two-phase solvent system composed of chloroform-n-butanol-methanol-water (4:1:4:2, v/v/v/v) was used for HSCCC separation. A one-step separation in 4 h from 150 mg of crude extract produced 26.3 mg of trans-resveratrol-3-O-glucoside, 42.0 mg of pieceid-2"-O-gallate, and 17.9 mg of trans-resveratrol with purities of 99.1%, 97.8%, and 99.4%, respectively, as determined by high-performance liquid chromatography (HPLC). The chemical structures of these compounds were identified by nuclear magnetic resonance (NMR) spectroscopy.

PARTIÇÃO DE PROTEÍNAS DE SORO DE LEITE EM SISTEMAS AQUOSOS BIFÁSICOS BASEADOS EM LÍQUIDOS IÔNICOS

In this work, we used an aqueous two-phase system (ATPS) consisting of the ionic liquid [C4mim][Cl] and the salt K2HPO4 to partition α-lactalbumin, β-lactoglobulin, and lactoferrin whey proteins. Extraction efficiency values above 87% indicate that the proteins primarily migrated to the ionic liquid-rich phase (top phase). Partition coefficient values ranged from 6.17 to 8.93 for a-lactalbumin, from 22.80 to 34.55 for β-lactoglobulin, and from 26.46 to 40.06 for lactoferrin. Therefore, the saline ATPS with the ionic liquid examined in this study can be considered to be a promising alternative for extracting whey proteins.

Verenpaineen mittaamisen opettaminen sairaanhoitaja- ja terveydenhoitajaopiskelijoille

Teaching the measurement of blood pressure for both nursing and public health nursing students The purpose of this two-phase study was to develop the teaching of blood pressure measurement within the nursing degree programmes of the Universities of Applied Sciences. The first survey phase described what and how blood pressure measurement was taught within nursing degree programmes. The second intervention phase (2004-2005) evaluated first academic year nursing and public health nursing students’ knowledge and skills results for blood pressure measurement. Additionally, the effect on the Taitoviikko experimental group students’ blood pressure measurement knowledge and skills level. A further objective was to construct models for an instrument (RRmittTest) to evaluate nursing students measurement of blood pressure (2003-2009). The research data for the survey phase were collected from teachers (total sampling, N=107, response rate 77%) using a specially developed RRmittopetus-questionnaire. Quasi-experimental study data on the RRmittTest-instrument was collected from students (purposive sampling, experimental group, n=29, control group, n=44). The RRmittTest consisted of a test of knowledge (Tietotesti) and simulation-based test (TaitoSimkäsi and Taitovideo) of skills. Measurements were made immediately after the teaching and in clinical practice. Statistical methods were used to analyse the results and responses to open-ended questions were organised and classified. Due to the small amount of materials involved and the results of distribution tests of the variables, non-parametric analytic methods were mainly used. Experimental group and control group similar knowledge and skills teaching was based on the results of the national survey phase (RRmittopetus) questionnaire results. Experimental group teaching includes the supervised Taitoviikko teaching method. During Taitoviikko students studied blood pressure measurement at the municipal hospital in a real nursing environment, guided by a teacher and a clinical nursing professional. In order to evaluate both learning and teaching the processes and components of blood pressure measurement were clearly defined as follows: the reliability of measurement instruments, activities preceding blood pressure measurement, technical execution of the measurement, recording, lifestyle guidance and measurement at home (self-monitoring). According to the survey study, blood pressure measurement is most often taught at Universities of Applied Sciences, separately, as knowledge (teaching of theory, 2 hours) and skills (classroom practice, 4 hours). The teaching was implemented largely in a classroom and was based mainly on a textbook. In the intervention phase the students had good knowledge of blood pressure measurement. However, their blood pressure measurement skills were deficient and the control group students, in particular, were highly deficient. Following in clinical practice the experimental group and control group students’ blood pressure measurement recording knowledge improve and experimental groups declined lifestyle guidance. Skills did not improve within any of the components analysed. The control groups` skills on the whole, declined statistically.There was a significant decline amongst the experimental group although only in one component measured. The results describe the learning results for first academic year students and no parallel conclusions should be drawn when considering any learning results for graduating students. The results support the use and further development of the Taitoviiko teaching method. The RRmittTest developed for the study should be assessed and the results seen from a negative perspective. This evaluation tool needs to be developed and retested.

Reaaliaikainen Clarken muunnos

Työssä suunniteltiin ja rakennettiin laite, joka suorittaa reaaliaikaisen Clarken muunnoksen kolmivaiheiselle mittaussignaalille. Kolmivaiheisella mittaussignaalilla tarkoitetaan tässä kolmivaiheisesta järjestelmästä mitattuja vaihevirtoja tai -jännitteitä. Lähtö tuottaa kaksivaiheisen mittaussignaalin, jota voidaan tutkia oskilloskooppia. Käyttämällä oskilloskooppia xy-moodissa näytölle piirtyy virta- tai jänniteympyrä. Laitetta voidaan käyttää esimerkiksi taajuusmuuttajien testauksen apuvälineenä, jolloin parametrien muuttamisen vaikutus laitteen tuottaman sähkön laatuun nähdään välittömästi.

Kostean höyryn paisunnan erityispiirteet ydinvoimalaitosten turbiineissa

Diplomityössä käsitellään ydinvoimalaitoksen kostean höyryn alueella toimivien höyryturbiinien toiminnan erityispiirteitä. Tarkemmin työssä keskitytään Loviisan ydinvoimalaitoksen turbiiniprosessiin. Tavoitteena on selvittää veden tiivistymistä höyryvirrassa, sen erotusta höyrystä turbiineissa sekä määrittää laitokselle todellinen paisuntakäyrä. Työssä selvitettiin veden tiivistymistä höyryvirtaan kirjallisuuden ja prosessista saatujen tietojen perusteella. Lisäksi työssä tutustuttiin suurien nykyaikaisten kostean höyryn alueella toimivien turbiinien vedenerotukseen ja sen pohjalta arvioitiin Loviisan ydinvoimalaitoksen turbiinin kosteudenerotusta. Näiden tietojen avulla saatiin mallinnettua kostean höyryn paisuntakäyrä Loviisan ydinvoimalaitoksen turbiineille. Työssä perehdyttiin lisäksi ulosvirtauskanavan toimintaan. Diplomityön puitteissa ei perehdytty yksityiskohtaisesti veden tiivistymiseen höyryvirrassa, vaan aihe ansaitsee tarkempaa tutkimusta. Kosteuden erotustehokkuuden arviointi todellisessa prosessissa ilman mittauksista saatavaa tietoa on vaikeata, mutta toimenpiteisiin lisäinformaation saamiseksi Loviisan ydinvoimalaitoksen turbiiniprosessista on ryhdytty. Työssä tehtyjen selvitysten avulla saatiin arvokasta tietoa turbiinikoneikon toiminnasta ja sen tehokkuuden parantamisesta.

Improving the calculation of rate of stratification in APROS

APROS (Advanced Process Simulation Environment) is a computer simulation program developed to simulate thermal hydraulic processes in nuclear and conventional power plants. Earlier research at VTT Technological Research Centre of Finland had found the current version of APROS to produce inaccurate simulation results for a certain case of loop seal clearing. The objective of this Master’s thesis is to find and implement an alternative method for calculating the rate of stratification in APROS, which was found to be the reason for the inaccuracies. Brief literature study was performed and a promising candidate for the new method was found. The new method was implemented into APROS and tested against experiments and simulations from two test facilities and the current version of APROS. Simulation results with the new version were partially conflicting; in some cases the new method was more accurate than the current version, in some the current method was better. Overall, the new method can be assessed as an improvement.

Mittaukset kostean höyryn turbiineille

Diplomityön tavoitteena oli selvittää Loviisan ydinvoimalaitoksen höyryturbiinin suoritus-kyvyn mittaamiseen käytettävissä olevia menetelmiä ja mittausjärjestelmiä. Tavoitteena oli selvittää mitkä tekijät aiheuttavat mittauksiin mittausvirheitä ja tutkia turbiineiden nykyisten mittalaitteiden epävarmuudet. Tässä diplomityössä selvitettiin millaisia standardinmukaisia testejä sekä muita varteenotettavia testejä turbiinin suorituskyvyn määrittämiseen on käytetty ja millaisia mittauksia ne vaativat. Lisäksi tutkittiin eri lähteistä millaisia mittalaitteita ja mittausjärjestelmiä voidaan käyttää turbiinin toiminnan mittauksiin. Soveltuvista mittausmenetelmistä esitettiin toimintaperiaatteet ja teoria. Kunnonvalvontaa varten esiteltiin värähtelyiden ja vääntö-momentin mittaamisen periaatteet. Epävarmuuksia arvioitiin mittalaitteiden teoreettisen epävarmuuden ja laitesijoittelun pohjalta. Työssä havaittiin, että suorituskyvyn arvioimiseksi on olemassa useita standardeja, mutta niiden mukaisiin mittauksiin tarvittaisiin nykyistä enemmän mittaustuloksia. Tarkkoja sekä luotettavia mittaustuloksia on haasteellista saada kaksifaasivirtauksesta. Mittalaitevalinnoilla ja mittalaitteiden määrää lisäämällä voidaan mittausten epävarmuutta pienentää. Loviisan ydinvoimalaitokselle ehdotettiin muutamia mittausjärjestelmiä turbiinin suoritus-kyvyn määrittämiseksi. Erityisesti turbiinin sisäiset olosuhteet tulisi määrittää nykyistä tarkemmin. Vääntömomentin mittaaminen olisi hyvä kunnonvalvonnan työkalu.

Vaccination Competence - The Concept and Evaluation

The purpose of this two-phase study was to define the concept of vaccination competence and assess the vaccination competence of graduating public health nurse students (PHN students) and public health nurses (PHNs) in Finland, with the goal of promoting and maintaining vaccination competence and developing vaccination education. The first phase of the study included semi-structured interviews with vaccination professionals, graduating PHN students and clients (a total of n=40), asking them to describe vaccination competence as well as the factors strengthening and weakening it. The data were analyzed through content analysis. In the second phase of the study, structured instruments were developed, and vaccination competence of PHN students (n=129) in Finland and PHNs (n=405) was assessed using a self-assessment scale (VAS) and taking a knowledge test. PHNs were used as a reference group, enabling us to determine whether a satisfactory level of vaccination competence was achieved by the end of studies, or whether it was gained through work experience vaccinating clients. The data were collected from five polytechnic institutions and seven health centers located in various parts of the country. The data were collected using instruments developed for this study, and were analyzed statistically. In the first phase, based on the results of the interviews, vaccination competence was defined as a large multi-faceted entity, including the concepts of competent vaccinator, competent implementation of the vaccination, and the outcome of the implementation. Semi-structured interviews revealed that factors strengthening and weakening vaccination competence were connected to the vaccinator, the client being vaccinated, the vaccination environment and vaccinator education. On the whole, factors strengthening and weakening vaccination were the opposite of each other. In the second phase, on the self-assessment of vaccination competence, students rated themselves as significantly lower than working professionals. On the knowledge test, the percentage of correct answers was lower for students than PHNs. When all background variables were taken into account in multivariate analysis, there was no longer a significant difference between the students and PHNs on the self-assessment. However, in multivariate analysis, the PHNs still performed better than students on the knowledge test. For this study, a satisfactory level of vaccination competence was defined as a mean of 8.0 on the self-assessment and 80% correct answers on the knowledge test. Based on these criteria, students almost reached the level of satisfactory in their overall self-assessment, and PHNs did. Both groups, however, did rank themselves as satisfactory in some sum variables. On the knowledge test the students did not achieve a level of satisfactory (80%) in their total score, though PHNs did. As before, both groups did achieve a level of satisfactory in several sum variables. Further research and development should focus on vaccination education, the testing of vaccination competence and vaccination practices in clinical practice, as well as on developing the measurement tools.