51 resultados para Kansallinen Edistyspuolue
Resumo:
Pro gradu -tutkielmani käsittelee Suomen murteiden sanakirjan taustaksi kerätyn Suomen murteiden sana-arkiston kartuttamisen historiaa; fennistisen murteenkeruun alkuvaiheita. Lähestyn murresanakirjan pitkää hanketta tutkimus- ja kulttuurihistoriallisesta näkökulmasta. Kansankielen sanakirja on fennistiikan merkittävimpiä tutkimushankkeita. Suo-men kielen vanhojen pitäjänmurteiden sanasto on ällistyttävän laaja aineisto, jonka keräämiseen ja julkaisemiseen on kulunut toista vuosisataa, ja sanakirjan toimitustyö jatkuu edelleen. Kansanmurteemme sisältävät paitsi kielitieteellisesti mielenkiintoista aineistoa myöskin runsaasti tietoa agraarisen elinkeinorakenteen aikakaudelta. Dialektologia ja kansatiede kulkevat käsikkäin. Murresanakirja on niin ollen merkittävä kansallinen omaisuus, jonka arvo koko suomalaiselle yhteiskunnalle on eittämättä suuri. Murteiden sanakirjan syntysanat on ajoitettavissa vuoteen 1868, vaikka toki fennistiikassa oli leksikografisia pyrintöjä jo ennen sitä (mm. Lönnrotin Suomalais-ruotsalainen sanakirja). Sanakirjahankkeessa on hahmotettavissa kolme vaihetta, joita kutsun ryhdistäytymisiksi. Nämä tapahtuivat noin vuosina 1896, 1916 ja 1925. Valotan työni aluksi hieman kansallisten tieteiden ja 1800-luvun alun aatehistoriallista taustaa (luku 2), jonka jälkeen tutkin murresanakirjahankkeen alkuvaiheita ja ensimmäisten sanastonkeruiden käynnistymistä (luku 3). Käsittelen kutakin hankkeen organisatorista muutosvaihetta ja hallinnollisten puitteiden kehittymistä luvuissa 4-6. Lopuksi pohdin murresanakirjan ja murteenkeruun historiallista merkitystä fennistiikalle ja yhteiskunnalle (luku 7). Tutkimukseni lähteinä on oppihistoriallista kirjallisuutta sekä murteiden keruusta vastanneiden yhteisöjen asiakirjoja. Erityisen kiinnostaviksi osoittautuivat Kotimaisten kielten tutkimuskeskuksessa säilytettävät sanakirjahankkeen hallinnolliset asiakirjat 1916-1925. Tuon esiin varhaisempiakin pöytäkirjamainintoja. Hankkeen alussa Suomalaisen Kirjallisuuden Seuran Kielitieteellinen Osakunta ja Kotikielen Seura keräsivät ensimmäisiä sanastokokoelmia. Tämän jälkeen ensimmäinen ryhdistäytyminen tapahtui vuodesta 1896 lähtien, jolloin Suomalaisen Kirjallisuuden Seura otti vastuun hankkeesta, E. N. Setälän tunnettua sanakirjaohjelmaa ja E. A. Ekmanin Suomen kielen keräilysanastoa noudattaen. Keruu oli kuitenkin liian hidasta, joten 1916 perustettiin Suomen kielen sanakirjaosakeyhtiö, jotta toimintaan saataisiin enemmän varoja. Ensimmäinen maailmansota ja sisällissota kuitenkin romahduttivat rahan arvon, ja kolmannen kerran hanke jouduttiin organisoimaan uudelleen vuonna 1925, Sanakirjasäätiön muodossa. Vuonna 1976 Sanakirjasäätiö liittyi Kotimaisten kielten tutkimuskeskukseen. Kansanmurteiden keräämisessä korostuu kaikissa keruun vaiheissa kaksi asiaa. Ensinnäkin sanastuksella oli aina kiire. Vanhat murteet olivat katoamassa, ja ne piti saada nopeasti talteen. Tähän kiinnitettiin huomiota jo varhain, ja vielä 1900-luvun loppupuoliskollakin, kun keruuhanke hiljalleen saatiin loppuunviedyksi. Toiseksi sanakirjahanke on aina joutunut elämään kädestä suuhun, toisin sanoen taloudelliset puitteet ovat sanelleet keruumahdollisuudet. Vakaalle taloudelliselle pohjalle hanke pääsi vasta 1930-luvulla Sanakirjasäätiön aikana, jolloin siihen alettiin saada valtion rahoitusta. Murresanakirjahankkeen läpi kulkee punaisena lankana kansallisromanttinen innostus ja isänmaallis-tieteellinen pyrkimys suomen kirjakielen kehittämiseen, joka vielä 1800-luvun puolivälissä oli meneillään. Kansalliset tieteet lujittivat itsenäistymistä ja suoma-laistumista. Aatehistorian kautta sanakirjahanke asettuu laajempaan yhteyteen. Avainsanat: tutkimushistoria, suomen kielen murteet, murteenkeruu, dialektologia, suomen murteiden sanakirja, fennistiikan oppihistoria, leksikografia, kansalliset tieteet, Suomalaisen Kirjallisuuden Seura, Kotikielen Seura, Suomen kielen sanakirjaosakeyhtiö, Sanakirjasäätiö
Resumo:
Very limited scientific knowledge exists on the trends and explanations of socioeconomic differences in physical activity among adults. There is a paucity of studies examining whether determinants vary across socioeconomic position and different life stages. This study examines a) how socioeconomic differences in leisure-time and commuting physical activity have changed in Finland from 1978 to 2002 and b) the contribution of childhood socioeconomic position, adolescence sports and exercise, adulthood socioeconomic position, working conditions and other adulthood health behaviours to socioeconomic differences in leisure-time physical activity. This study utilised three population-based datasets collected by the National Institute for Health and Welfare (THL, formerly National Institute for Public Health): the Health Behaviour and Health among the Finnish Adult Population Study from 1978 to 2002 (N=96 105), the National FINRISK Study 2002 and its physical activity sub-study (N= 9 179), and the Health 2000 Study (N=8 028). Survey information was collected by self-administered questionnaires, interviews at home, and measurements made at the study site. The response rates varied from 69 to 89 per cent. Several socioeconomic measures were linked from the national population registers. Based on the results, those with low income were physically inactive during leisure-time and while commuting from 1978 to 2002. Manual worker women, however, were more physically active commuters compared to their counterparts. Parental socioeconomic position contributed directly to adulthood educational differences in leisure-time physical inactivity but also indirectly through adulthood socioeconomic position (occupation, household income) and other unhealthy behaviours (mainly smoking). Among those with low education participation in competitive sports in youth and among those with high education exercise in late adolescence contributed to leisure-time physical activity in adulthood. Long exposure to physically strenuous working conditions in men and current job strain in women contributed to occupational class differences in leisure-time physical activity. Socioeconomic differences in physical activity have remained similar for twenty years in Finland. Educational career seems to have a strong contribution to physical activity. To adopt a lifelong physically active life-style, one should participate in a range of different sports and exercise in adolescence and in youth, have a low exposure to physically and mentally strenuous working conditions in later life and have other healthy behaviours in later life.
Resumo:
Prescribing for older patients is challenging. The prevalence of diseases increases with advancing age and causes extensive drug use. Impairments in cognitive, sensory, social and physical functioning, multimorbidity and comorbidities, as well as age-related changes in pharmacokinetics and pharmacodynamics all add to the complexity of prescribing. This study is a cross-sectional assessment of all long-term residents aged ≥ 65 years in all nursing homes in Helsinki, Finland. The residents’ health status was assessed and data on their demographic factors, health and medications were collected from their medical records in February 2003. This study assesses some essential issues in prescribing for older people: psychotropic drugs (Paper I), laxatives (Paper II), vitamin D and calcium supplements (Paper III), potentially inappropriate drugs for older adults (PIDs) and drug-drug interactions (DDIs)(Paper IV), as well as prescribing in public and private nursing homes. A resident was classified as a medication user if his or her medication record indicated a regular sequence for its dosage. Others were classified as non-users. Mini Nutritional Assessment (MNA) was used to assess residents’ nutritional status, Beers 2003 criteria to assess the use of PIDs, and the Swedish, Finnish, INteraction X-referencing database (SFINX) to evaluate their exposure to DDIs. Of all nursing home residents in Helsinki, 82% (n=1987) participated in studies I, II, and IV and 87% (n=2114) participated in the study III. The residents’ mean age was 84 years, 81% were female, and 70% were diagnosed with dementia. The mean number of drugs was 7.9 per resident; 40% of the residents used ≥ 9 drugs per day, and were thus exposed to polypharmacy. Eighty percent of the residents received psychotropics; 43% received antipsychotics, and 45% used antidepressants. Anxiolytics were prescribed to 26%, and hypnotics to 28% of the residents. Of those residents diagnosed with dementia, 11% received antidementia drugs. Fifty five percent of the residents used laxatives regularly. In multivariate analysis, those factors associated with regular laxative use were advanced age, immobility, poor nutritional status, chewing problems, Parkinson’s disease, and a high number of drugs. Eating snacks between meals was associated with lower risk for laxative use. Of all participants, 33% received vitamin D supplementation, 28% received calcium supplementation, and 20% received both vitamin D and calcium. The dosage of vitamin D was rather low: 21% received vitamin D 400 IU (10 µg) or more, and only 4% received 800 IU (20 µg) or more. In multivariate analysis, residents who received vitamin D supplementation enjoyed better nutritional status, ate snacks between meals, suffered no constipation, and received regular weight monitoring. Those residents receiving PIDs (34% of all residents) more often used psychotropic medication and were more often exposed to polypharmacy than residents receiving no PIDs. Residents receiving PIDs were less often diagnosed with dementia than were residents receiving no PIDs. The three most prevalent PIDs were short-acting benzodiazepine in greater dosages than recommended, hydroxyzine, and nitrofurantoin. These three drugs accounted for nearly 77% of all PID use. Of all residents, less than 5% were susceptible to a clinically significant DDI. The most common DDIs were related to the use of potassium-sparing diuretics, carbamazepine, and codeine. Residents exposed to potential DDIs were younger, had more often suffered a previous stroke, more often used psychotropics, and were more often exposed to PIDs and polypharmacy than were residents not exposed to DDIs. Residents in private nursing homes were less often exposed to polypharmacy than were residents in public nursing homes. Long-term residents in nursing homes in Helsinki use, on average, nearly eight drugs daily. The use of psychotropic drugs in our study was notably more common than in international studies. The prevalence of laxatives equaled other prior international studies. Regardless of the known benefit and recommendation of vitamin D supplementation for elderly residing mostly indoors, the proportion of nursing home residents receiving vitamin D and calcium was surprisingly low. The use of PIDs was common among nursing home residents. PIDs increased the likelihood of DDIs. However, DDIs did not seem a major concern among the nursing home population. Monitoring PIDs and potential drug interactions could improve the quality of prescribing.
Resumo:
Physical inactivity, low cardiorespiratory fitness, and abdominal obesity are direct and mediating risk factors for cardiovascular disease (CVD). The results of recent studies suggest that individuals with higher levels of physical activity or cardiorespiratory fitness have lower CVD and all-cause mortality than those with lower activity or fitness levels regardless of their level of obesity. The interrelationships of physical activity, fitness, and abdominal obesity with cardiovascular risk factors have not been studied in detail. The aim of this study was to investigate the associations of different types of leisure time physical activity and aerobic fitness with cardiovascular risk factors in a large population of Finnish adults. In addition, a novel aerobic fitness test was implemented and the distribution of aerobic fitness was explored in men and women across age groups. The interrelationships of physical activity, aerobic fitness and abdominal obesity were examined in relation to cardiovascular risk factors. This study was part of the National FINRISK Study 2002, which monitors cardiovascular risk factors in a Finnish adult population. The sample comprised 13 437 men and women aged 25 to 74 years and was drawn from the Population Register as a stratified random sample according to 10-year age groups, gender and area. A separate physical activity study included 9179 subjects, of whom 5 980 participated (65%) in the study. At the study site, weight, height, waist and hip circumferences, and blood pressure were measured, a blood sample was drawn, and an aerobic fitness test was performed. The fitness test estimated maximal oxygen uptake (VO2max) and was based on a non-exercise method by using a heart rate monitor at rest. Waist-to-hip ratio (WHR) was calculated by dividing waist circumference with hip circumference and was used as a measure of abdominal obesity. Participants filled in a questionnaire on health behavior, a history of diseases, and current health status, and a detailed 12-month leisure time physical activity recall. Based on the recall data, relative energy expenditure was calculated using metabolic equivalents, and physical activity was divided into conditioning, non-conditioning, and commuting physical activity. Participants aged 45 to 74 years were later invited to take part in a 2-hour oral glucose tolerance test with fasting insulin and glucose measurements. Based on the oral glucose tolerance test, undiagnosed impaired glucose tolerance and type 2 diabetes were defined. The estimated aerobic fitness was lower among women and decreased with age. A higher estimated aerobic fitness and a lower WHR were independently associated with lower systolic and diastolic blood pressure, lower total cholesterol and triglyceride levels, and with higher high-density lipoprotein (HDL) cholesterol and HDL to total cholesterol ratio. The associations of the estimated aerobic fitness with diastolic blood pressure, triglycerides, and HDL to total cholesterol ratio were stronger in men with a higher WHR. High levels of conditioning and non-conditioning physical activity were associated with lower high-sensitivity C-reactive protein (CRP) levels. High levels of conditioning and overall physical activities were associated with lower insulin and glucose levels. The associations were stronger among women than men. A better self-rated physical fitness was associated with a higher estimated aerobic fitness, lower CRP levels, and lower insulin and glucose levels in men and women. In each WHR third, the risk of impaired glucose tolerance and type 2 diabetes was higher among physically inactive individuals who did not undertake at least 30 minutes of moderate-intensity physical activity on five days per week. These cross-sectional data show that higher levels of estimated aerobic fitness and regular leisure time physical activity are associated with a favorable cardiovascular risk factor profile and that these associations are present at all levels of abdominal obesity. Most of the associations followed a dose-response manner, suggesting that already low levels of physical activity or fitness are beneficial to health and that larger improvements in risk factor levels may be gained from higher activity and fitness levels. The present findings support the recommendation to engage regularly in leisure time physical activity, to pursue a high level of aerobic fitness, and to prevent abdominal obesity.
Resumo:
Tutkielmassa tarkastelen Suomen Sosialidemokraattisen Puolueen (SDP) suhdetta uskonnollisiin ja kirkollisiin kysymyksiin, sekä sitä muuttuiko suhde vuosina 1977–1987. Aikaväli on rajattu yleisen poliittisen historian käännekohtiin. Alkupisteenä toimii Kalevi Sorsan II hallituksen nimittäminen ja päätepisteenä Holkerin hallituksen aloitus. Tutkielman kannalta tärkein lähde on ollut Työväen arkistossa säilytettävä SDP:n puoluearkisto. SDP:n kirkkopolitiikka alkoi Forssan kokouksesta 1903, jolloin puolue vaati kirkon ja valtion erottamista. Linja vaihteli jyrkästä lievään ja uusi kansallinen eheytyminen toisen maailman sodan jälkeen tuntui myös SDP:ssä. 1960- ja 1970-lukujen muutospaineiden myötä kirkko oli herännyt uudistamaan vaalikäytäntöjään. Kirkollisten vaalien muuttuminen suoriksi ja välittömiksi vaaleiksi sai puolueet suuntaamaan katseensa entistä tarkemmin kirkon hallintoon. Myös SDP osallistui vaaleihin ja Kalevi Sorsan puheenjohtajakaudella puolueeseen perustettiin vuonna 1978 seurakunta-asiain jaosto hoitamaan kirkollisia vaaleja. Sitä ennen toiminta oli ollut erillisjärjetön ja aktiivisten seurakuntalaisten käsissä. Osallistuminen kirkollisiin vaaleihin katsottiin siinä määrin tärkeäksi, ettei sitä voitu jättää puolueen suoran organisaation ulkopuolelle. Toiminta tapahtui jatkossakin samojen henkilöiden kautta ja on vaikea pitävästi sanoa, miten merkittävästi vastuu siirtyi pelkästään puolueelle. Vuoden 1978 seurakuntavaaleihin panostettiin mittavasti ja niissä kokeiltiin myös suoraa jäsenistöön vaikuttamista. Vaalit eivät muodostuneet SDP:lle riemuvoitoksi ja niihin osallistuminen oli hyvin vaihtelevaa. Uskonto oli puolueessa omantunnonasia ja jokainen sai toimia sen suhteen vakaumuksensa mukaisesti. Kirkolliskokouksen maallikkoedustajien vaaleissa 1986 SDP oli voimakkaasti mukana. Silloin puolue otti erityisteemaksi naispappeuden. Vaalit tuottivatkin tulosta ja SDP sai tutkimusajan suurimman edustajamäärän. Ehdokkaat eivät tutkimusten mukaan mieltäneet kirkollisia vaaleja sinällään poliittisiksi, vaikka puolueet olivatkin mukana niissä. Vaaleissa ei myöskään saanut käyttää avoimia poliittisia tunnuksia. Rakennemuutoksen myötä ammattikerrostumat muuttuivat ja perinteinen työväenluokka alkoi pienentyä. Osin tästä johtuen SDP käynnisti periaateohjelman uudistamisen. Periaateohjelman uudistuksessa käsiteltiin maailmankatsomuksellisia asioita, perusarvoja ja kannattajapohjaa. Lopulta työskentelyssä päädyttiin erottamaan maailmankatsomukselliset asiat poliittisesta ideologiasta. Uuden periaateohjelman myötä SDP:stä tuli arvopuolue, jonka jäseneksi saattoi tulla erilaisista maailmankatsomuksellisista lähtökohdista käsin. Puolueella oli edelleen voimassa vuoden 1972 toimenpideohjelma valtion ja kirkon erottamiseksi. Ohjelmaa ei kuitenkaan pyritty määrätietoisesti toteuttamaan, ja se jäi horrosmaiseen hiljaiseloon. Sen säilyttäminen voidaan nähdä haluna pitäytyä vanhassa työväenliikkeen perinteessä. Gallup-tutkimusten mukaan SDP:n äänestäjäkunta ei kuitenkaan eronnut kirkollisuudessaan muista kansalaisista. Tämä on voitu huomata myös puolueessa, ja sen seurauksena liian kärkevää kritiikkiä kirkkoa kohtaan varottiin. Kyselyt antoivat SDP:lle aiheen korostaa myös kirkkomyönteistä puolta. SDP:n neutraali suhtautuminen kirkkoon muuttui osin kirkkomyönteiseksi.
Resumo:
Tämän tutkielman tarkoitus on selvittää, voidaanko humanitaarisen intervention käsitteellä kuvata Suomen sotilaallista kriisinhallintaa. Lähtökohta on, että kriisinhallintatehtävien vaarallisuus ja tavoite auttaa kriisien uhreja edellyttävät tämän suhteen avaamista. Tutkimusmetodi on systemaattinen analyysi, jonka lähdekirjallisuutta ovat etiikan, kansainvälisen politiikan ja sotataidon teokset, lainsäädäntö, hallinnolliset asiakirjat sekä mielipidetutkimukset. Kansainvälisesti humanitaarista interventiota on tutkittu paljon; sen luonnetta Suomen sotilaallisessa kriisinhallinnassa vähän. Tutkimuskysymys ratkaistaan välitavoittein: 1) Mikä on humanitaarisen intervention merkitys kriisinhallinnan käsitteistössä?, 2) miten se on oikeutettavissa ja mikä on sen oikeutettu määritelmä?, 3) onko humanitaarisen intervention käsitteellä vastaavuus Suomen sotilaallisessa kriisinhallinnassa ja 4) ovatko kansallinen etu ja kansainvälinen vastuu ristiriidassa päätettäessä sotilaallisesta kriisinhallinnasta? Neljä välitavoitetta vastaa tämän tutkielman neljää päälukua. Ensimmäiseksi osoitetaan, että humanitaarinen interventio on sotilaallisen kriisinhallinnan laji, jolla sotataidon menetelmin voidaan vaikuttaa tehokkaasti vakavaan valtionsisäiseen kriisin. Kansainvälisesti se on yleistynyt perinteisen rauhanturvaamisen vähetessä. Asevoiman käyttö voi olla passiivista tai aktiivista ja siihen pätee samat vaaran ja virheen lainalaisuudet kuin sodankäyntiin yleensä. Toiseksi tarkastellaan 1) kansainvälisoikeudellista, 2) oikeutetun sodan koulukunnan, 3) uusliberalistista, 4) kansalaisjärjestöjen näkökulmaan pohjautuvaa sekä 5) synteettistä oikeuttamismallia. Parhaiten ilmiötä kuvaa synteettinen toiminnallinen oikeuttamismalli, joka perustuu sekä etiikan teoriaan että sotataidon empiriaan. Oikeuttamistarkastelusta johdetaan tämän tutkielman määritelmä: ”Humanitaarinen interventio on valtion tai siihen verrattavan ryhmittymän pakottaminen sotilaallisella voimankäytöllä lopettamaan alueellaan tapahtuvat vakavat ja välittömät ihmisoikeusloukkaukset. Humanitaarisella interventiolla tulee olla kansainvälisen yhteisön enemmistön tuki. Humanitaarisen intervention operaatiotyypit ovat: 1) avun perillemenon varmistaminen, 2) avustusoperaatioiden suojaaminen, 3) uhrien pelastaminen ja 4) pahantekijäin lyöminen.” Kolmanneksi verrataan määritelmän vastaavuutta Suomen sotilaallisen kriisinhallinnan teoriaan ja käytäntöön. Ilmenee, että lainsäädännössä ja hallintokielessä korrektit ilmaisut kuten ´erittäin vaativat kriisinhallintatehtävät´ perinteisen rauhanturvaamisen vastakohtana peittävät yhden tarkoitteistaan, joka sotataidon kielessä on humanitaarinen interventio. Luokitellaan myös puolustusvoimien verkkosivuillaan ilmoittamat kriisinhallintaoperaatiot suhteessa humanitaarisen intervention neljään tyyppiin. Ilmenee, että valtaosa henkilöstöresursseista sitoutuu humanitaarisiin interventioihin tai intervention tyyppejä sisältäviin sekoittuneisiin operaatioihin. Esimerkkinä sekoittuneesta operaatiotilanteesta käsitellään Afganistania. Vähemmistö henkilöstöstä on puhtaissa perinteisen rauhanturvaa-misen tai puhtaissa humanitaarisen intervention operaatioissa kuten EU:n Tshadin operaatiossa. Neljänneksi tutkitaan kansallista etua kriisinhallinnassa hyötyinä yksilölle ja valtiolle. Analysoidaan kansallisen edun ja kansainvälisen vastuun suhdetta, jossa valinnan ääripäät painottavat pelkkää valtion etua tai vain globaalia vastuuta. Ääripäiden keskiväli on eettisen politiikan valinta. Todetaan, että sotilaallisen kriisinhallinnan tulos on mitattava kriisin uhrien näkökulmasta. Tulee ilmi sotataidon perimmäinen kysymys ihmishengen samanaikaisesta itseis- ja välinearvosta, mikä on eettisen harkinnan perusta lähetettäessä kansalaisia kuolemanvaaraan. Globaalia vastuuta ja kansallista etua ei voida ristiriidattomasti sovittaa yhteen päätettäessä sotilaallisesta kriisinhallinnasta. Tämän tutkielman johtopäätös on, että näin määritellyllä humanitaarisen intervention käsitteellä voidaan kuvata Suomen sotilaallisen kriisinhallinnan vaativia tehtäviä perinteisen rauhanturvaamisen vastakohtana. Ilmiön monimuotoisuus edellyttää teoreettista ja empiiristä jatkotutkimusta, jonka tavoite on myös kriisinhallinnan tavoite, – hyveen ja hyvän elämän edistäminen.
Resumo:
Yhdysvallat on ottanut johtavan roolin terrorisminvastaisessa sodassa ja julkaissut terrorisminvastaisen sodan asiakirjoja, joista kansallinen turvallisuusstrategia vuosilta 2002 ja 2006 sekä kansallinen terrorisminvastainen asiakirja vuodelta 2006 ovat tämän tutkimuksen lähdeaineisto. Tutkielmassa analysoin, miten Yhdysvallat perustelee ja pyrkii oikeuttamaan terrorisminvastaisen sotansa. Tarkastelun teen vertaamalla terrorisminvastaisen sodan asiakirjoja perinteiseen länsimaiseen oikeudenmukaisen sodan teoriaan. Tutkimuksessani vastaan myös siihen, täyttääkö terrorisminvastainen sota oikeudenmukaisen sodan ehdot. Tarkastelussa käytän metodina systemaattista käsiteanalyysiä. Terrorisminvastaisen sodan tärkein väline on demokratia, johon Yhdysvallat sisällyttää ihmisoikeuksia ja yksilönvapauksia. Terrorisminvastaisen sodan tavoitteena on luoda sellaiset maailmanlaajuiset ja rauhalliset olosuhteet, että ihmiset pääsisivät nauttimaan jokaiselle luonnostaan kuuluvista yksilönvapauksista ja ihmisoikeuksista. Jotta sota olisi oikeudenmukainen, on tiettyjen ehtojen täytyttävä. Ennen sotaa on pyrittävä ratkaisemaan rauhanomaisesti sotaan johtava syy. Sodassa tulee olla oikeutettu peruste ja realistiset tavoitteet, jotka on esitettävä ennen sotaa. Vain itsepuolustuksellinen sota on oikeutettua. Sotaan voi ryhtyä vain laillinen auktoriteetti. Sodankäynnissä tulee käyttää vain kansainvälisesti hyväksyttyjen sodan sääntöjen sallimia menetelmiä. Tärkeintä sodankäynnissä on ihmisoikeuksien mahdollisimman pitkälle menevä kunnioitus. Sodan tavoitteena on tuottaa enemmän hyvää kuin pahaa. Sodalla saavutetun tilanteen tulee olla parempi kuin sotaa edeltävä tilanne. Sodan tavoitteena on oltava rauha, jonka ehtojen on oltava ennakoitavissa jo sotaa edeltävissä ja sodan aikaisissa toimissa ja sopimuksissa. Terrorisminvastaisten asiakirjojen perusteella Yhdysvallat täyttää terrorisminvastaisessa sodassa oikeudenmukaisen sodan ehdot, lukuunottamatta kaikkien rauhanomaisten keinojen koettelua ja ihmisoikeuksien kunnioitusta. Yhdysvallat vetoaa terrorismin poikkeavaan luonteeseen ja siihen, että terrorismi muodostaa äärimmäisen hätätilanteen. Äärimmäisessä hätätilanteessa on mahdollista toimia niin, että jos toimimalla vastoin oikeudenmukaisen sodan teorian ehtoja saavutetaan parempi lopputulos kuin ehtojen noudattamisella saavutettava lopputulos, on tietyin ehdoin mahdollista jättää osa oikeudenmukaisen sodan ehdoista täyttämättä. Yhdysvaltain mukaan terrorisminvastaisen sodan ihmisuhrit ovat välttämättömiä, jotta saavutetaan enemmän ihmishenkiä säästävä maailmanlaajuinen rauha. Terrorisminvastaisen sodan vankien ihmisoikeusloukkausten taustalla on pyrkimys yleisen turvallisuuden lisäämiseen. Lisäksi Yhdysvallat on vedonnut siihen, että rauhanomaisten neuvottelujen aikana terroristit ehtivät valmistautua tuleviin iskuihin. Yhdysvallat suosii nopeaa ja yllättävää toimintaa, vaikka se pyrkiikiin mahdollisuuksien mukaan rauhanomaisiin ratkaisuihin.
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National identity signifies and makes state s defence- and foreign policy behaviour meaningful. National consciousness is narrated into existence by narratives upon one s own exceptionalism and Otherness of the other nations. While national identity may be understood merely as a self-image of a nation, defence identity refers to the borders of Otherness and issues that have been considered as worth defending for. As national identities and all the world order models are human constructions, they may be changed by the human efforts as well; states and nations may deliberately promote communitarian or even cosmopolitan equality and tolerance without borders of Otherness. The main research question of the thesis is: How does Poland constitute herself as a nation and a state agent in the current world order and to what extent have contextual foreign and defence policy interactions changed the Polish defence identity during the post-Cold War era? The main empirical argument of the thesis is: Poland is a narrated idea of a Christian Catholic nation-state, which the Polish State, the Catholic Church of Poland, the Armed Forces of Poland as well as a majority of the Polish nation share. Polish defence identity has been almost impenetrable to contextual foreign and defence policy interactions during the post-Cold War era. While Christian religious ontology binds corporate Poland together, allowing her to survive any number of military and political catastrophes, it simultaneously brings her closer to the USA, raises tensions in the infidel EU-context, and restrains corporate Poland s pursuit of communitarian, or even cosmopolitan, global equality and tolerance. It is not the case that corporate Poland s foreign and defence policy orientation is instinctively Atlanticist by nature, as has been argued. Rather, it has been the State s rational project to overcome a habituated and reified fear of becoming geopolitically sandwiched between Russian and German Others by leaning on the USA; among the Polish nation, support for the USA has been declining since 2004. It is not corporate Poland either that has turned into a constructive European , as has been argued, but rather the Polish nation that has, at least partly, managed to emancipate itself from its habituation to a betrayal by Europe narrative, since it favours the EU as much as it favours NATO. It seems that in the Polish case a truly common European CFSP vis-à-vis Russia may offer a solution that will emancipate the Polish State from its habituated EU-sceptic role identity and corporate Poland from its narrated borders of Otherness towards Russia and Germany, but even then one cannot be sure whether any other perspective than the Polish one on a common stand towards Russia would satisfy the Poles themselves.
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For Independent Finland. The Military Committee 1915–1918 In the course of the First World War, several organizations were founded with the purpose of making Finland independent or, at least, restoring her autonomous status. The Military Committee was the most significant active independence organization in Finland in the First World War, in addition to the activist student movement, i.e., the Jaeger Movement. The Military Committee was an organization founded in 1915 by officers who had attended the Hamina Cadet School, with the goal of creating a national army for a liberation war against the Russian troops. It was believed that the liberation war should succeed only with the help of the German Army. With the situation in society continually tensing up in the autumn 1917, the Military Committee also had to figure on the possibility of a Civil War. The activities of the Military Committee started in the early part of 1915 when they were still small-scale, but they gained significant momentum after the Russian Revolution in March 1917. In January 1918, the Military Committee formed the general staff for the White Army, the Senate’s troops. The independence-related activities of the Hamina cadets in the years of the First World War were more extensive and multifaceted than has been believed heretofore. The work of the Military Committee was divided into preparations for a liberation war in Finland, on one hand, and in Stockholm and Berlin, on the other hand. In Finland, the Military Committee took part in intelligence gathering for Germany and in supporting the recruiting Jaegers, and later in founding the civil guard organization, in solving the law and order authorities issue, and finally in selecting the Commander-in-Chief for the Senate’s troops. The member of the Military Committee, especially Captain Hannes Ignatius of the Cavalry contributed greatly to the drafting of the independence activists’ national action plan in Stockholm in May 1917. This plan preceded the formation of the civil guard organization. The Military Committee’s role in founding the civil guards was initially minor, but in the fall of 1917, the Military Committee started to finance the activities of the civil guards, named several former officers as commanders of the civil guards and finally overtook the entire civil guard movement. In Stockholm and Berlin, the representatives of the Military Committee were in active contact with both the high command of the German Army and with the representatives of the Swedish Army. Colonel Nikolai Mexmontan, who was a representative of the Military Committee, collaborated with Swedish officers and Jaeger officers in Stockholm in coming up with comprehensive and detailed plans for starting the Liberation War. Under Mexmontan’s leadership, there were serious negotiations to enter into a confederation with Germany. Lieutenant Colonel Wilhelm Thesleff, on the other hand, became the commander of the Jaeger Battalion 27. The influence and importance of the Military Committee came to the forefront in independent and conflict-torn Finland. The Military Committee became a Senate committee on the 7th of January 1918, with its chairman, for all practical purposes, as the Commander-in-Chief in an eventual war. Lieutenant General Claes Charpentier was the chairman of the Military Committee from mid-December 1917 onwards, but on the 15th of January 1918 he had to resign in favour of Lieutenant General Gustaf Mannerheim. Soon after that, Mannerheim got an order from the chairman of the Senate P. E. Svinhufvud to organize and assume the leadership of the law and order authorities. The chairman of the Military Committee became the Commander-in-Chief of the Senate troops in January 1918, and the Military Committee became the Commander-in-Chief’s general staff. The Military Committee had turned from a clandestine organization into the first general staff of the independent Finnish Army.
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Background: One-third of patients with type 1 diabetes develop diabetic complications, such as diabetic nephropathy. The diabetic complications are related to a high mortality from cardiovascular disease, impose a great burden on the health care system, and reduce the health-related quality of life of patients. Aims: This thesis assessed, whether parental risk factors identify subjects at a greater risk of developing diabetic complications. Another aim was to evaluate the impact of a parental history of type 2 diabetes on patients with type 1 diabetes. A third aim was to assess the role of the metabolic syndrome in patients with type 1 diabetes, both its presence and its predictive value with respect to complications. Subjects and methods: This study is part of the ongoing nationwide Finnish Diabetic Nephropathy (FinnDiane) Study. The study was initiated in 1997, and, thus far, 4,800 adult patients with type 1 diabetes have been recruited. Since 2004, follow-up data have also been collected in parallel to the recruitment of new patients. Studies I to III have a cross-sectional design, whereas Study IV has a prospective design. Information on parents was obtained from the patients with type 1 diabetes by a questionnaire. Results: Clustering of parental hypertension, cardiovascular disease, and diabetes (type 1 and type 2) was associated with diabetic nephropathy in patients with type 1 diabetes, as was paternal mortality. A parental history of type 2 diabetes was associated with a later onset of type 1 diabetes, a higher prevalence of the metabolic syndrome, and a metabolic profile related to insulin resistance, despite no difference in the distribution of human leukocyte antigen genotypes or the presence of diabetic complications. A maternal history of type 2 diabetes, seemed to contribute to a worse metabolic profile in the patients with type 1 diabetes than a paternal history. The metabolic syndrome was a frequent finding in patients with type 1 diabetes, observed in 38% of males and 40% of females. The prevalence increased with worsening of the glycemic control and more severe renal disease. The metabolic syndrome was associated with a 3.75-fold odds ratio for diabetic nephropathy, and all of the components of the syndrome were independently associated with diabetic nephropathy. The metabolic syndrome, independent of diabetic nephropathy, increased the risk of cardiovascular events and cardiovascular and diabetes-related mortality over a 5.5-year follow-up. With respect to progression of diabetic nephropathy, the role of the metabolic syndrome was less clear, playing a strong role only in the progression from macroalbuminuria to end-stage renal disease. Conclusions: Familial factors and the metabolic syndrome play an important role in patients with type 1 diabetes. Assessment of these factors is an easily applicable tool in clinical practice to identify patients at a greater risk of developing diabetic complications.
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The increase in drug use and related harms in the late 1990s in Finland has come to be referred to as the second drug wave. In addition to using criminal justice as a basis of drug policy, new kinds of drug regulation were introduced. Some of the new regulation strategies were referred to as "harm reduction". The most widely known practices of harm reduction include needle and syringe exchange programmes for intravenous drug users and medicinal substitution and maintenance treatment programmes for opiate users. The purpose of the study is to examine the change of drug policy in Finland and particularly the political struggle surrounding harm reduction in the context of this change. The aim is, first, to analyse the content of harm reduction policy and the dynamics of its emergence and, second, to assess to what extent harm reduction undermines or threatens traditional drug policy. The concept of harm reduction is typically associated with a drug policy strategy that employs the public health approach and where the principal focus of regulation is on drug-related health harms and risks. On the other hand, harm reduction policy has also been given other interpretations, relating, in particular, to human rights and social equality. In Finland, harm reduction can also be seen to have its roots in criminal policy. The general conclusion of the study is that rather than posing a threat to a prohibitionist drug policy, harm reduction has come to form part of it. The implementation of harm reduction by setting up health counselling centres for drug users with the main focus on needle exchange and by extending substitution treatment has implied the creation of specialised services based on medical expertise and an increasing involvement of the medical profession in addressing drug problems. At the same time the criminal justice control of drug use has been intensified. Accordingly, harm reduction has not entailed a shift to a more liberal drug policy nor has it undermined the traditional policy with its emphasis on total drug prohibition. Instead, harm reduction in combination with a prohibitionist penal policy constitutes a new dual-track drug policy paradigm. The study draws on the constructionist tradition of research on social problems and movements, where the analysis centres on claims made about social problems, claim-makers, ways of making claims and related social mobilisation. The research material mainly consists of administrative documents and interviews with key stakeholders. The doctoral study consists of five original articles and a summary article. The first article gives an overview of the strained process of change of drug policy and policy trends around the turn of the millennium. The second article focuses on the concept of harm reduction and the international organisations and groupings involved in defining it. The third article describes the process that in 1996 97 led to the creation of the first Finnish national drug policy strategy by reconciling mutually contradictory views of addressing the drug problem, at the same as the way was paved for harm reduction measures. The fourth article seeks to explain the relatively rapid diffusion of needle exchange programmes after 1996. The fifth article assesses substitution treatment as a harm reduction measure from the viewpoint of the associations of opioid users and their family members.
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Background: The national resuscitation guidelines were published in Finland in 2002 and are based on international guidelines published in 2000. The main goal of the national guidelines, available on the Internet free of charge, is early defibrillation by nurses in an institutional setting. Aim: To study possible changes in cardiopulmonary resuscitation (CPR) practices, especially concerning early defibrillation, nurses and students attitudes of guideline implementation and nurses and students ability to implement the guideline recommendations in clinical practices after publication of the Current Care (CC) guidelines for CPR 2002. Material and methods: CPR practices in Finnish health centres; especially concerning rapid defibrillation programmes, as well as the implementation of CC guidelines for CPR was studied in a mail survey to chief physicians of every health centre in Finland (Study I). The CPR skills using an automated external defibrillator (AED) were compared in a study including Objective stuctured clinical examination (OSCE) of resuscitation skills of nurses and nursing students in Finnish and Swedish hospital and institution (Studies II, III). Attitudes towards CPR-D and CPR guidelines among medical and nursing students and secondary hospital nurses were studied in surveys (Studies IV, V). The nurses receiving different CPR training were compared in a randomized trial including OSCE of CPR skills of nurses in Finnish Hospital (Study VI). Results: Two years after the publication, 40.7% of Finnish health centres used national resuscitation guidelines. The proportion of health centres having at least one AED (66%) and principle of nurse-performed defibrillation without the presence of a physician (42%) had increased. The CPR-D training was estimated to be insufficient regarding basic life support and advanced life support in the majority of health centres (Study I). CPR-D skills of nurses and nursing students in two specific Swedish and Finnish hospitals and institutions (Study II and III) were generally inadequate. The nurses performed better than the students and the Swedish nurses surpassed the Finnish ones. Geriatric nurses receiving traditional CPR-D training performed better than those receiving an Internet-based course but both groups failed to defibrillate within 60 s. Thus, the performance was not satisfactory even two weeks after traditional training (Study VI). Unlike the medical students, the nursing students did not feel competent to perform procedures recommended in the cardiopulmonary resuscitation guidelines including the defibrillation. However, the majority of nursing students felt confident about their ability to perform basic life support. The perceived ability to defibrillate correlated significantly with a positive attitude towards nurse-performed defibrillation and negatively with fear of damaging the patient s heart by defibrillation (Study IV). After the educational intervention, the nurses found their level of CPR-D capability more sufficient than before and felt more confident about their ability to perform defibrillation themselves. A negative attitude toward defibrillation correlated with perceived negative organisational attitudes toward cardiopulmonary resuscitation guidelines. After CPR-D education in the hospital, the majority (64%) of nurses hesitated to perform defibrillation because of anxiety and 27 % hesitated because of fear of injuring the patient. Also a negative personal attitude towards guidelines increased markedly after education (Study V). Conclusions: Although a significant change had occurred in resuscitation practices in primary health care after publication of national cardiopulmonary resuscitation guidelines the participants CPR-D skills were not adequate according to the CPR guidelines. The current way of teaching is unlikely to result in participants being able to perform adequate and rapid CPR-D. More information and more frequent training are needed to diminish anxiety concerning defibrillation. Negative beliefs and attitudes toward defibrillation affect the nursing students and nurses attitudes toward cardiopulmonary resuscitation guidelines. CPR-D education increased the participants self-confidence concerning CPR-D skills but it did not reduce their anxiety. AEDs have replaced the manual defibrillators in most institutions, but in spite of the modern devices the anxiety still exists. Basic education does not provide nursing students with adequate CPR-D skills. Thus, frequent training in the workplace has vital importance. This multi-professional program supported by the administration might provide better CPR-D skills. Distance learning alone cannot substitute for traditional small-group learning, tutored hands-on training is needed to learn practical CPR-D skills. Standardized testing would probably help controlling the quality of learning. Training of group-working skills might improve CPR performance.
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Maisterin tutkielman tavoitteena oli kartoittaa kevätviljojen siemenviljelyn edellytyksiä Kmaatalouden sopimusviljelytiloilla. Erityisesti oltiin kiinnostuneita kansallisen siementuotantotuen poistumisen vaikutuksesta viljeltävien lajikkeiden lukumäärään ja viljelyaloihin. Tutkielman teoriaosassa tarkasteltiin viljojen siemenviljelyä, sen erityispiirteitä Suomessa ja siihen liittyvää lainsäädäntöä, asetuksia ja maatalouspolitiikkaa. Siemenviljelyä tarkasteltiin paitsi huoltovarmuuden näkökulmasta myös viljelyn taloudellisuuden näkökulmasta. Lisäksi esitettiin sertifioidun ja tilan oman siemenen käyttöön ja laajuuteen vaikuttavia tekijöitä ja siemenen sertifiointiprosessi. Tutkimuksen aineisto perustui maaliskuussa 2010 tehtyyn lomakekyselyyn, joka lähetettiin 119 K-maatalouden sopimussiemenviljelijälle. Kyselyyn vastasi 71 viljelijää, jolloin vastausprosentiksi muodostui 60. Tutkimusmenetelminä aineiston analysoinnissa käytettiin frekvenssijakaumia, keskiarvotestejä ja Kruskall-Wallisin testiä. Tutkimustulosten mukaan kansallisen siementuotannon tuen poistuminen vuoden 2011 alussa ei näyttänyt vaikuttavan siemenviljelyn jatkuvuuteen tai jatkohalukkuuteen. Siementuotannon tukea pidettiin varsin alhaisena, joten sen vaikutus viljelyyn osoittautui vähäiseksi. Huomattavasti enemmän siemenviljelyyn näytti vaikuttavan yleinen maatalouden ja etenkin viljanviljelyn alhainen kannattavuus. Siemenviljelijät katsoivat, etteivät esimerkiksi siementuotannon tuki tai tuen poistuminen korvaa riittävästi tuotannosta aiheutunutta lisätyötä. Toisaalta harva siemenviljelijä aikoi lopettaa tuotannon, vaikka pitivät viljanviljelyä huonosti kannattavana. Tällaiseen näkemykseen saattoi olla syynä se, että viljelijöillä oli siemententuotantoon soveltuva kalusto, ammattitaito ja rutiini tuotantoon. Tutkimukseen osallistuneet viljelijät katsoivat lisäksi, että oma maatila soveltui erittäin hyvin siemententuotantoon. Suurimpana uhkana siementuotannolle kyselyyn vastanneet viljelijät pitivät hukkakauraa omilla tai naapureidensa pelloilla.
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The purpose of this study was to produce information on and practical recommendations for informed decision-making on and capacity building for sustainable forest management (SFM) and good forest governance. This was done within the overall global framework for sustainable development with special emphasis on the EU and African frameworks and on Southern Sudan and Ethiopia in particular. The case studies on Southern Sudan and Ethiopia focused on local, national and regional issues. Moreover, this study attempted to provide both theoretical and practical new insight. The aim was to build an overall theoretical framework and to study its key contents and main implications for SFM and good forest governance at all administration levels, for providing new tools for capacity building in natural resources management. The theoretical framework and research approach were based on the original research problem and the general and specific aims of the study. The key elements of the framework encompass sustainable development, global and EU governance, sustainable forest management (SFM), good forest governance, as well as international and EU law. The selected research approach comprised matrix-based assessment of international, regional (EU and Africa) and national (Southern Sudan and Ethiopia) policy and legal documents. The specific case study on Southern Sudan also involved interviews and group discussions with local community members and government officials. As a whole, this study attempted to link the global, regional, national and local levels in forest-sector development and especially to analyse how the international policy development in environmental and forestry issues is reflected in field-level progress towards SFM and good forest governance, for the specific cases of Southern Sudan and Ethiopia. The results on Southern Sudan focused on the existing situation and perceived needs in capacity building for SFM and good forest governance at all administration levels. Specifically, the results of the case study on Southern Sudan presented the current situation in selected villages in the northern parts of Renk County in Upper Nile State, and the implications of Multilateral Environmental Agreements (MEAs) and of the new forest policy framework for capacity building actions. The results on Ethiopia focused on training, extension, research, education and new curriculum development within higher education institutions and particularly at the Wondo Genet College of Forestry and Natural Resources (WGCF-NR), which administratively lies under Hawassa University. The results suggest that, for both cases studies, informed decision-making on and capacity building for SFM and good forest governance require comprehensive, long-term, cross-sectoral, coherent and consistent approaches within the dynamic and evolving overall global framework, including its multiple inter-linked levels. The specific priority development and focus areas comprised the establishment of SFM and good forest governance in accordance with the overall sustainable development priorities and with more focus on the international trade in forest products that are derived from sustainable and legal sources with an emphasis on effective forest law enforcement and governance at all levels. In Upper Nile State in Southern Sudan there were positive development signals such as the will of the local people to plant more multipurpose trees on farmlands and range lands as well as the recognition of the importance of forests and trees for sustainable rural development where food security is a key element. In addition, it was evident that the local communities studied in Southern Sudan also wanted to establish good governance systems through partnerships with all actors and through increased local responsibilities. The results also suggest that the implementation of MEAs at the local level in Southern Sudan requires mutually supportive and coherent approaches within the agreements as well as significantly more resources and financial and technical assistance for capacity building, training and extension. Finally, the findings confirm the importance of full utilization of the existing local governance and management systems and their traditional and customary knowledge and practices, and of new development partnerships with full participation of all stakeholders. The planned new forest law for Southern Sudan, based on an already existing new forest policy, is expected to recognize the roles of local-level actors, and it would thus obviously facilitate the achieving of sustainable forest management.
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Enchanted by Sources. Henry Biaudet, Liisi Karttunen and Finnish Historical Research in Rome in the Early Twentieth Century This study traces the scholarly endeavours of Henry Biaudet (1870 1915) and Liisi Karttunen (1880 1957) and "La mission historique finlandaise à Rome" which they founded in 1909. They are forgotten in Finnish historiography, but remain internationally renowned for their contribution to the nunciature studies. By investigating their historical work on the Counter- Reformation era, their roles in the scientific communities of Helsinki and Rome as well as the intersection of politics and science in their scholarly practices the study explores the nature of historical research in general at the turn of the twentieth century. The work covers fields such as historiography, university history and the political use of history. Methodologically the research is based on the analysis and contextualization of published and unpublished sources (e.g. correspondences, university records, scholarly publications and reviews in academic journals). Henry Biaudet criticized the previous research on the Nordic Counter-Reformation for its narrow national scope and sources. He sought out a new approach, including the use of sources in archives all over Europe and the inclusion of the Catholic viewpoint. Accordingly, Biaudet and Karttunen searched for records in archives in Southern Europe. Their unorthodox interpretations were denounced in Finland since the picture they gave of late sixteenth-century Sweden was too different from the national narrative. Moreover, Finnish national identity was firmly rooted in Protestantism, and questioning the benevolence of the Reformation and its main actors was considered as an attack not only against historical truth but also national values. The comparison between Biaudet s and Karttunen s arguments and the accepted narrative in Finland shows how traditional interpretations of the Nordic Reformation were influenced by the Lutheran ethos and European anticlerical rhetoric. Historians have recently paid substantial attention to the political use of history, usually focusing on politicized constructions of the national past. This study shows how research that met the criteria of modern historiography also served political purposes. Conducting research in an international community of historians and publishing ambitious scholarly studies that interested an international audience were ways to create a positive image of Finland abroad. These were not uniquely Finnish ideas but rather ideas shared by the international community of historians in Rome. In this context, scientific pursuits were given a clear political meaning. This enhances our understanding of nineteenth-century historiography being firmly rooted between science and politics.