Key Account Management in Paper and Board Industry- Identification of Key Accounts for Stora Enso Graphical Boards

Tutkimuksen tarkoituksena oli tunnistaa nykyiset sekä potentiaaliset avainasiakkaat case yritykselle. Avainasiakkaat tunnistettiin Chevertonin tunnistamis- ja valintamatriisin avulla, jossa asiakkaan sijoittumista matriisiin arvioidaan asiakkaan houkuttelevuuden sekä toimittajan suhteellisten vahvuuksien avulla. Kriteereiksi avainasiakkaiden tunnistamiseen valittiin asiakkaan vuotuinen ostovolyymi, asiakkaan business-potentiaali sekä case-yrityksen toimittajaosuus. Asiakkaat luokiteltiin avainasiakkaisiin, kehitettäviin avainasiakkaisiin, ylläpidettäviin asiakkaisiin sekä satunnaisiin asiakkaisiin. Tutkimus tarjosi lähtökohdan case-yrityksen uusille avainasiakaspäälliköille sekä osoitti suunnan tulevaisuuden tutkimustarpeille. Aktiivisen tiedonvaihdannan kautta eri myyntikonttoreiden johtohenkilöstön sekä myös yrityksen eri funktionaalisten divisioonien välillä voidaan saavuttaa kilpailuetua kun lähestytään asiakasta toimintojaan järkiperäisesti koordinoineena toimittajana samalla kun asiakkaat keskittävät ostojaan. Jotta yrityksen tavoitteet, markkinamahdollisuudet sekä resurssit olisivat hyvin tasapainossa, tulisi myös asiakaskannattavuutta sekä asiakkaiden strategista merkittävyyttä arvioida ja mitata säännöllisesti tässä tutkimuksessa käytettyjen tunnistuskriteereiden lisäksi.

Net communication strategy planning and management

Tutkielman tavoitteena on selvittää kuinka suunnitella ja hallita tehokasta verkkoviestintää, joka vastaa kohdeyleisön ja palvelun ylläpitäjien kasvaviin vaatimuksiin. Tutkielma on normatiivinen tapaustutkimus, jonka tuloksena syntyy konstruktiivinen askelmalli kokonaisvaltaisen verkkoviestintäprojektin toteuttamiseen. Tutkimus esittää myös teoreettisesti merkittävän näkökulman verkkopalvelujen sisällön hallintaongelmien ratkaisemiseen. Tosielämän verkkoviestintäprojektin toteutusta seurataan TietoEnator Forestissa, jossa tutkielman kirjoittaja työskentelee. Tutkimusmateriaalina käytetään 11 TietoEnator Forestissa toteutettua haastattelua, TietoEnator konsernin dokumentaatiota ja osallistuvaa havainnointia. Haastattelulomake sisältää 13 avointa kysymystä, jotka käsittelevät verkkoviestintästrategian perusasioita. Tunnistetut verkkoviestinnän avainmenestystekijät ovat vahva sisäinen sitoutuminen hajautettuihin ylläpitorooleihin ja perinpohjainen asiakastarpeiden tunnistaminen. Teknisesti on tärkeää, että eritason verkkoympäristöt, Internet, Intranet ja Extranet, hallitaan samoilla sisällönhallinta työkaluilla. Näin pystytään rationalisoimaan ylläpitotoiminnot.

Adjuvant Fluorouracil, Leucovorin, and Oxaliplatin in Stage II to III Colon Cancer: Updated 10-Year Survival and Outcomes According to BRAF Mutation and Mismatch Repair Status of the MOSAIC Study.

PURPOSE: The MOSAIC (Multicenter International Study of Oxaliplatin/Fluorouracil/Leucovorin in the Adjuvant Treatment of Colon Cancer) study has demonstrated 3-year disease-free survival (DFS) and 6-year overall survival (OS) benefit of adjuvant oxaliplatin in stage II to III resected colon cancer. This update presents 10-year OS and OS and DFS by mismatch repair (MMR) status and BRAF mutation. METHODS: Survival actualization after 10-year follow-up was performed in 2,246 patients with resected stage II to III colon cancer. We assessed MMR status and BRAF mutation in 1,008 formalin-fixed paraffin-embedded specimens. RESULTS: After a median follow-up of 9.5 years, 10-year OS rates in the bolus/infusional fluorouracil plus leucovorin (LV5FU2) and LV5FU2 plus oxaliplatin (FOLFOX4) arms were 67.1% versus 71.7% (hazard ratio [HR], 0.85; P = .043) in the whole population, 79.5% versus 78.4% for stage II (HR, 1.00; P = .980), and 59.0% versus 67.1% for stage III (HR, 0.80; P = .016) disease. Ninety-five patients (9.4%) had MMR-deficient (dMMR) tumors, and 94 (10.4%) had BRAF mutation. BRAF mutation was not prognostic for OS (P = .965), but dMMR was an independent prognostic factor (HR, 2.02; 95% CI, 1.15 to 3.55; P = .014). HRs for DFS and OS benefit in the FOLFOX4 arm were 0.48 (95% CI, 0.20 to 1.12) and 0.41 (95% CI, 0.16 to 1.07), respectively, in patients with stage II to III dMMR and 0.50 (95% CI, 0.25 to 1.00) and 0.66 (95% CI, 0.31 to 1.42), respectively, in those with BRAF mutation. CONCLUSION: The OS benefit of oxaliplatin-based adjuvant chemotherapy, increasing over time and with the disease severity, was confirmed at 10 years in patients with stage II to III colon cancer. These updated results support the use of FOLFOX in patients with stage III disease, including those with dMMR or BRAF mutation.

Operation and Maintenance Security Service for OSS-RC networks

Security issues in telecommunication networks have become more important due to the development of the industry. The number of network elements and services has increased in the radio network as in the core network side, which has increased the number of security related issues. Ericsson has developed an OSS-RC product for operation and maintenance porpoises into the telecommunication networks. OSS-RC is used in a number of telecommunications operators, which have Ericsson's products used in their telecommunication networks. Ericsson provides product installation and maintenance support and guidance, but despite this, the product may have security related issues, either due to lack of following the instructions, human error or defect in the product itself or in a third party products attached. Ericsson’s Operation and Maintenance Security Service for OSS-RC networks aims to provide tools for checking the security level of the O&M product so that it meets all requirements and Ericsson’s own security related rules. Each customer has a unique telecommunications network structure and services, and so the security service has to be to create individually depending on the customer. The purpose of this thesis is to define the basic instructions for creating the security service for different customers.

Huolto– ja kunnossapitoliiketoiminnan tuotteistaminen

Tässä diplomityössä pyritään selvittämään, mitä kaikkea huolto– ja unnossapitosopimuksiin perustuvan liiketoiminnan tuotteistamiselta vaaditaan. Kyseisiä palveluita halutaan markkinoida uusien kerrosleiju–teknologiaan (BFB) perustuvien voimakattilatoimitusten yhteydessä. Diplomityön kirjallisessa osiossa asiaa tutkitaan ensin palveluliiketoimintaan ja tuotteistamiseen liittyvien seikkojen näkökulmasta sekä esitellään kunnossapidon teoriaa ja eri strategiakonsepteja sekä tunnuslukuja. Tutkimuksen empiirisessä osassa luodaan toimintamalli huolto– ja kunnossapitosopimuksia varten. Toimintamallissa pyritään löytämään laitekohtaisesti optimaalinen kunnossapitostrategia soveltaen RCM–menetelmään eli luotettavuuskeskistä kunnossapitotapaa. Käytettäviä kunnossapitostrategioita ovat parantava, ennakoiva, kuntoon perustuva ja korjaava kunnossapito. Optimoinnin päämäärä on saavuttaa mahdollisimman korkea tuotantovarmuus kustannustehokkaasti. Lisäksi työssä arvioidaan eri kunnossapitoresurssien tarve ensimmäisen kymmenen käyttövuoden ajalle. Toinen tutkimustavoite on saattaa elinkaarenseurantatyökalun kehittämisprojekti alkuun. Elinkaarenseurantatyökalulla halutaan seurata eri laitteiden elinkaaren vaihetta sekä löytää paras mahdollinen ajotapojen ja elinkaaren suhde. Työssä saavutettiin kunnossapito–ohjelma ja arvio eri resurssien tarpeesta voimakattilan laitteille. Resurssitarvearvio sisältää arvion työvoiman tarpeesta henkilötyötunteina sekä vaihdettavien vara– ja kulutusosien määrän.

Aging based maintenance and reinvestment scheduling of electric distribution

The maintenance of electric distribution network is a topical question for distribution system operators because of increasing significance of failure costs. In this dissertation the maintenance practices of the distribution system operators are analyzed and a theory for scheduling maintenance activities and reinvestment of distribution components is created. The scheduling is based on the deterioration of components and the increasing failure rates due to aging. The dynamic programming algorithm is used as a solving method to maintenance problem which is caused by the increasing failure rates of the network. The other impacts of network maintenance like environmental and regulation reasons are not included to the scope of this thesis. Further the tree trimming of the corridors and the major disturbance of the network are not included to the problem optimized in this thesis. For optimizing, four dynamic programming models are presented and the models are tested. Programming is made in VBA-language to the computer. For testing two different kinds of test networks are used. Because electric distribution system operators want to operate with bigger component groups, optimal timing for component groups is also analyzed. A maintenance software package is created to apply the presented theories in practice. An overview of the program is presented.

Degenerative rotator cuff tear – Results and prognostic factors of arthroscopic repair

Factors affecting outcome after arthroscopic rotator cuff repair are unclear and there is still insufficient evidence of efficacy of any treatment modality for rotator cuff tears. The purpose of the current study was to determine in a prospective randomized multicenter trial whether there is a difference in clinical outcome between three different treatment modalities in the treatment of degenerative, atraumatic supraspinatus tendon tear in elderly patients. 180 shoulders were randomized into three treatment groups: 1) physiotherapy, 2) arthroscopic acromioplasty and physiotherapy, 3) arthroscopic rotator cuff reconstruction, acromioplasty and physiotherapy. The objective of this study was also to evaluate retrospectively the effect of trauma, the size of the rotator cuff tear, smoking habits and glenohumeral osteoarthritis on the clinical treatment outcome after arthroscopic rotator cuff repair in a consecutively prospectively collected series of patients. The patient data was gathered to the electronic database. The Constant score was used as a primary outcome measure. The follow‐up time was one year. The main finding was that operative treatment did not provide benefit over conservative regimen in elderly patients with atraumatic supraspinatus tear. Trauma did not affect on the clinical outcome and there was neither difference in the age of patients with traumatic vs. non‐traumatic rotator cuff tears. The size of the rotator cuff tear correlated significantly with the clinical results. The outcome was significantly poorer in tears with infraspinatus involvement compared to anterosuperior tears. Operatively treated rotator cuff tear patients who smoked were significantly younger than non‐smokers, and smoking was associated with poorer clinical outcome. Concomitant osteoarthritis of the glenohumeral joint was found to be a relatively common finding in supraspinatus tear patients. Osteoarthritis of the glenohumeral joint in operatively treated supraspinatus tear patients predicted poorer clinical results comparing to patients without osteoarthritis.

Influence of the addition of lupine protein isolate on the protein and technological characteristics of dough and fresh bread with added Brea Gum

The effect of protein lupine isolate (LI) and addition of brea gum (BG) on a basic bread formulation is described. The major objective of this research was to evaluate the influence of the addition of LI on the quality and quantity of the proteins of fresh bread with BG. Protein quality was determinate by the Chemical Score method corrected for protein digestibility (CSCD%). The bread dough characteristics were determined by farinograph and alveograph. Fresh bread characterization was performed by measuring the physical parameters and evaluating the crumb structure. The effect of LI and BG on available lysine, the loss of available lysine ratio, and the chemical composition of the breads were also determined. The addition of LI on the bread formulation improved the protein content and the CSCD% of lysine. The dough with LI was less resistant to prolonged kneading and less manageable. With BG addition, the dough became stickier. The quality of fresh bread was affected by the addition of LI: the fresh bread had lower specific volume and more heterogeneous crumbs than that of the control group. The addition of BG did not influence the quality of the bread made with the mixed flour, but it had a positive effect on the loss of available lysine.

Microfacies analysis of the lower paleocene beda formation in Western Concession 59 and Block 59F, Sirte Basin, Libya /

The rock sequence of the Tertiary Beda Formation of S. W. concession 59 and 59F block in Sirte Basin of Libya has been subdivided into twelve platformal carbonate microfacies. These microfacies are dominated by muddy carbonates, such as skeletal mudstones, wackestones, and packstones with dolomites and anhydrite. Rock textures, faunal assemblages and sedimentary structures suggest shallow, clear, warm waters and low to moderate energy conditions within the depositional shelf environment. The Beda Formation represents a shallowing-upward sequence typical of lagoonal and tidal flat environments marked at the top by sabkha and brackish-water sediments. Microfossils include benthonic foraminifera, such as miliolids, Nummulites, - oerculina and other smaller benthonics, in addition to dasycladacean algae, ostracods, molluscs, echinoderms, bryozoans and charophytes. Fecal pellets and pelloids, along with the biotic allochems, contributed greatly to the composition of the various microfacies. Dolomite, where present, is finely crystalline and an early replacement product. Anhydrite occurs as nodular, chickenwire and massive textures indicating supratidal sabkha deposition. Compaction, micr it i zat ion , dolomit izat ion , recrystallization, cementation, and dissolution resulted in alteration and obliteration of primary sedimentary structures of the Beda Formation microfacies. The study area is located in the Gerad Trough which developed as a NE-SW trending extensional graben. The Gerad trough was characterized by deep-shallow water conditions throughout the deposition of the Beda Formation sediments. The study area is marked by several horsts and grabens; as a result of extent ional tectonism. The area was tectonically active throughout the Tertiary period. Primary porosity is intergranular and intragranular, and secondary processes are characterized by dissolution, intercrystalline, fracture and fenestral features. Diagenesis, through solution leaching and dolomitization, contributed greatly to porosity development. Reservoir traps of the Beda Formation are characterized by normal fault blocks and the general reservoir characteristics/properties appear to be facies controlled.

Self-Esteem and Mastery in Maintenance Cardiac Rehabilitation

Background: CVD is the second leading cause of death in Canada. Mastery and self-esteem are psychosocial factors, suggested to be emerging risk factors for CVD. Purpose: The purpose of the study was two-fold; first to establish whether mastery and self-esteem predicted adherence to maintenance CR; and second, whether mastery and self-esteem improved after a 6-month maintenance CR program. Methods: Data were collected at the Brock University Heart Institute. The study involved a sample of 98 participants. At intake to the program and 6-month follow-up, participants completed a questionnaire battery which included the Rosenberg Self-Esteem Scale and the Pearlin-Schooler Mastery Scale. Results: Mastery and self-esteem scores did not alter the likelihood of adherence to the CR program. Mastery and self-esteem did significantly improve after 6-months of CR amongst participants with the lowest exercise capacity. Conclusion: Maintenance CR does improve mastery and self-esteem amongst those with diminished exercise capacity.

Investigating Microbial Trace-fossils and Abiotic Alteration in Hydrovolcanic Tuffs of the Fort Rock Volcanic Field, Oregon

Microbial ichnofossils in volcanic rocks provide a significant record of subsurface microbes and potentially extraterrestrial biosignatures. Here, the textures, mineralogy, and geochemistry of two continental basaltic hydrovolcanic deposits - Reed Rocks and Black Hills - in the Fort Rock Volcanic Field (FRVF) are investigated. Methods include petrographic microscopy, micro and powder X-ray diffraction, SEM/BSE/EDF imaging, energy dispersive spectroscopy, stable isotopes, and X-ray fluorescence. Petrographic analysis revealed granular and tubular textures with biogenic morphologies that include terminal enlargements, septate divisions, branching forms, spiral filaments, and ovoid bodies resembling endolithic microborings described in ocean basalts. They display evidence of behaviour and a geologic context expressing their relative age and syngenicity. Differences in abiotic alteration and the abundance/morphotype assemblage of putative microborings between the sites indicate that water/rock ratio, fluid composition and flux, temperature and secondary phase formation are influences on microboring formation. This study is the first report of reputed endolithic microborings in basalts erupted in a continental lacustrine setting.

Blenkhorn and Sawle Fonds, 1946-1961, n.d. (non-inclusive)

Correspondence, flyers and clippings regarding the Blenkhorn and Sawle Company.

Rôle du gène Polycomb BMI1 dans le maintien et la radiorésistance des cellules souches cancéreuses

Le glioblastome multiforme (GBM) est la tumeur cérébrale la plus commune et létale chez l’adulte. Malgré les avancés fulgurantes dans la dernière décennie au niveau des thérapies contre le cancer, le pronostique reste inchangé. Le manque de spécificité des traitements est la cause première de la récurrence de cette tumeur. Une meilleure compréhension au niveau des mécanismes moléculaires et biologiques de cette tumeur est impérative. La découverte des cellules souches cancéreuses (CD133+) au niveau du GBM offre une nouvelle opportunité thérapeutique contre cette tumeur. Effectivement, les cellules CD133+ seraient responsables de l’établissement, le maintien et la progression du GBM. De plus, elles sont également la cause de la résistance du GBM faces aux traitements de radiothérapies. Ces cellules représentent une cible de choix dans le but d’éradiquer le GBM. L’oncogène BMI1 a été associé à plusieurs types de tumeurs et est également essentielle au maintien de différentes populations de cellules souches normales et cancéreuses. Une forte expression de BMI1 est observée au niveau du GBM et plus précisément, un enrichissement préférentiel de cette protéine est noté au niveau des cellules CD133+. L’objectif principal de cette thèse est d’évaluer le rôle potentiel de BMI1 dans le maintien et la radiorésistance des cellules souches cancéreuses (CSC), CD133+ du GBM. La fonction principale de BMI1 est la régulation négative du locus INK4A/ARF. Ce locus est impliqué dans l’activation de deux voies majeurs anti-tumorales : P53 et RB. Or, la perte de BMI1 induit in vitro une diminution des capacités prolifératives, une augmentation de la différentiation et de l’apoptose, ainsi qu’une augmentation de la radiosensibilité des CSC du GBM indépendamment de la présence du locus INK4A/ARF. Effectivement, deux tumeurs sur trois possèdent une délétion de ce locus, ce qui suggère que BMI1 possède d’autre(s) cible(s) transcriptionnelle(s). Parmi ces nouvelles cibles ont retrouve la protéine P21, un régulateur négatif du cycle cellulaire. De plus, la perte de BMI1 inhibe l’établissement d’une tumeur cérébrale lors d’études de xénogreffe chez la souris NOD/SCID. Également, une nouvelle fonction de BMI1 indépendante de son activité transcriptionnel a été démontrée. Effectivement, suite à l’induction d’un bris double brin (BDB) de l’ADN, BMI1 est rapidement recruté au niveau de la lésion et influence le recrutement des protéines de reconnaissance du dommage à l’ADN. La perte de BMI1 mène à un défaut au niveau de la reconnaissance et la réparation de l’ADN, alors que sa surexpression induit plutôt une augmentation de ces mécanismes et procure une radiorésistance. Ces résultats décrivent pour la première fois l’importance de BMI1 au niveau du maintien, de l’auto-renouvellement et la radiorésistance des CSC du GBM. Ainsi, ces travaux démontrent que la protéine BMI1 représente une cible thérapeutique de choix dans le but d’éradiquer le GBM, une tumeur cérébrale létale.

L’altération des interactions neurone-glie à la jonction neuromusculaire de souris âgées

Durant le vieillissement, l’ensemble des fonctions de l’organisme se détériore, que ce soit aussi bien au niveau moteur que cognitif. Le vieillissement s’accompagne d’une diminution de la force, ainsi que de la masse musculaire. Des études récentes tendent à montrer que cette perte de masse musculaire que l’on appelle sarcopénie aurait pour origine un dérèglement de la jonction neuromusculaire. Les changements au niveau du présynaptique et du post synaptiques lors du vieillissement normal font l’objet de plusieurs études, mais les changements relatifs aux cellules de Schwann périsynaptique sont très peu connus. Le but de cette étude est donc d’analyser les modifications des interactions neurone-glie à la jonction neuromusculaire. Dans cette étude, nous montrons que certaines fonctions des cellules gliales de la synapse âgée sont déréglées, en particulier, le type de récepteurs activés par une stimulation nerveuse à haute fréquence. D’autre part, nos résultats montrent que les mécanismes responsables de l’augmentation de la transmission synaptique suite à cette stimulation nerveuse à haute fréquence sont altérés à la synapse âgée. Enfin, outre les modifications de la terminaison axonale et de la fibre musculaire, les cellules gliales montrent des signes de réorganisation structurelle propre à une synapse en réparation. Ces résultats montrent que le fonctionnement de la jonction neuromusculaire et a fortiori les interactions neurones-glie sont altérées lors du vieillissement normal.

Integrating TPM and QFD for improving quality in maintenance engineering

To provide maintenance engineering community with a model named “Maintenance quality function deployment” (MQFD) for nourishing the synergy of quality function deployment (QFD) and total productive maintenance (TPM) and enhancing maintenance quality of products and equipment.The principles of QFD and TPM were studied. MQFD model was designed by coupling these two principles. The practical implementation feasibility of MQFD model was checked in an automobile service station.Both QFD and TPM are popular approaches and several benefits of implementing them have been reported worldwide. Yet the world has not nourished the synergic power of integrating them. The MQFD implementation study reported in this paper has revealed its practical validity