EXPERIENCIA MUNICIPAL EN EL USO E IMPLEMENTACIÓN DE UN SISTEMA DE INFORMACIÓN TERRITORIAL

En el Área Metropolitana de San José (AMSJ), 14 Municipalidades se esfuerzan por realizar mejoras sustanciales en la administración de los territorios, la gestión de cobro de impuestos y servicios y el desarrollo de planes de Ordenamiento Territorial Local (Planes Reguladores). Dentro de este ámbito,  la  implementación de un Sistema de Información Territorial (SIT), cobra especial relevancia, por lo que la Municipalidad de Escazú, ha desarrollado proyectos que le han permitido contestar preguntas cruciales en torno de la implementación de un SIT, entre ellas, ¿Por qué se necesita un SIT en la Municipalidad?, ¿Cómo implementarlo?, ¿Se debe ajustar el SIT a la Municipalidad o esta última debe ajustarse al SIT?, ¿Cuánto cuesta y cuánto se tarda para tener un SIT?. El proceso no ha sido fácil, y probablemente el camino para implementar con éxito un SIT no sea único o idéntico para todas las organizaciones, sin embargo, todo aquello que haya sido utilizado y probado puede ser de utilidad para otros.Palabras clave: Gestión municipal, Sistema de  Información Territorial, Sistema de  información Geográfca, Sistema de Información Catastral, Planifcación urbana, Formulación de proyectos.Abstract At Área Metropolitana de San José (AMSJ), 14 municipalities are making efforts to improve their systems for taxes collection and Urban Land Planning in order to achieve sustainable development of their territories. At this stage, implementation of a Geographical Information System (GIS) or Territorial Information System (SIT, in Spanish) takes on special relevance. The city of Escazú has developed projects that have allowed it in turn to answer crucial questions concerning implementation of a SIT, such as: Why is it necessary for a municipality to have a SIT? How does it work? Does the organization have to adjust to the SIT or should the SIT be adjusted to the needs of the organization? Finally, how much does it cost to implement a SIT and how long will it take? The process has not been easy, and probably the way to implement a successful SIT is not the same for every municipality. Nevertheless, the experiences of one municipality can be useful for others seeking to implement such a system. Key words: Municipal management, Territorial Information System, Geographical Information System, Catastral Information System, Urban Land Planning, Project Management.

TRANSFORMACIÓN EN EL USO DE LA TIERRA: UN ESTUDIO DE LA MICROCUENCA QUEBRADA ESTERO, SAN RAMÓN

En el siguiente artículo se analizan las transformaciones en el uso de la tierra en la microcuenca de la quebrada Estero en San Ramón, provincia de Alajuela. La investigación se basa en el análisis de fotografías aéreas pertene­cientes a los períodos que abarcan 1979, 1989 y 1999. Se estiman los cambios en el área ocupada por los diferentes tipos de usos de la tierra. Se identifica su evolución y se muestran, a partir de suficiente información cuantitativa, los porcentajes de cambios en los distintos usos y las tendencias espaciales de éstos. La investigación demuestra que actualmente existe un acelerado creci­miento urbano con un inadecuado patrón de ordenamiento territorial y una disminución progresiva de áreas dedicadas a bosque, pasto y cultivos.ABSTRACT In the following article, transformation of land use in the microcuenca Estero in San Ramón, province of Alajuela is analyzed. The investigation is based upon the analysis of aerial photographs of three different periods of 1979, 1989 and 1999. This allows for the estimation of change in each distinct Land use type and the identification of the evolution of Land use, gives enough quantitative information to calculate the percentage of change between each period, and the tendencies of incremental expansion. The investigation shows a current, incremental acceleration of urban áreas with minimal territorial planning and a progressive decrease of áreas previously occupied by forests, pastures and agriculture.

ORDENAMIENTO DEL TERRITORIO LOCAL ASISTIDO A TRAVES DE UN SISTEMA DE INFORMACIÓN GEOGRÁFICA.

El presente artículo muestra la aplicación de un Sistema de Información Geográfica (SIG) con una interfase con manejador de base de datos. El SIG utilizado es de modelo raster sin la capacidad de desarrollar una base de datos descriptiva. La aplicación desarrollada es conocida como Sistema de Información Geográfica para Gobiernos Locales (SIGGLO)y el área donde se implementó fue en el cantón de santo Domingo de la provincia de Heredia. En el apartado Los Planes de ordenamiento Territorial se discute sobre la utilidad que posee este tipo de instrumentos, que regulan el ordenamiento a nivel local y en forma paralela los autores presentan sus inquietudes del porqué los planes reguladores no han tenido el éxito deseado. Posteriormente, se presenta la visión de los autores sobre Los Planes de ordenamiento Manuales vs. Automatizados, el cual permite presentar las ventajas y desventajas que poseen los SiGs para implementar un Plan de Ordenamiento a través de esta tecnología. Seguidamente se presenta en detalle la experiencia obtenida con el SIGGLO, donde se explica la utilización del SIG y de un paquete de digitalización para combinar luego ambos con un manejador de bases de datos. Por último, se presentan una serie de restricciones que tiene el SIGGLO, también las recomendaciones que se deberían considerar al implementar un nuevo proyecto bajo la metodología del SIGGLO. ABSTRACTThe present article presents an application of a data base management system interfacing with a Geographical Information System (GIS). The utilized GIS for the project is a raster based system without the ability to develop a descriptive data base. This system is called Geographical Information System for Local Governments (SIGGLO) and was implemented in the canton of Santo Domingo, Costa Rica. It is mentioned in Territorial Organization Plans the utility that GIS systems have in regulating organization on a local level. In parallel form, the authors present their doubts of why these regulatory plans have not had the desired success. Afterwards, the authors present their vision of an Organization Plan for Manual and Automated functions which permit the presentation of the advantages and disadvantages that contain GIS in order to implement a Organization Plan with these technologies. Following this is a detailed presentation of the experience obtained with SIGGLO and where it is explained the utility of the GIS and of a digitizing software package which was later combined in the data base management system. Finally, a series of restrictions is presented that SIGGLO has which also contains details of recommendations that should be considered upon implementing a new project under the SIGGLO methodology.

POLÍTICAS DE ORDENAMIENTO AMBIENTAL DEL TERRITORIO EN LA ARGENTINA CONTEMPORÁNEA

Promover el desarrollo equitativo del territorio es un desafío para gran parte de los gobiernos latinoamericanos. Ello da cuenta de la generación de un nuevo paradigma que reconoce dos vectores fundamentales: el impulso al crecimiento económico con soberanía política, asentado en el proceso de integración regional como plataforma de inclusión en la economía global y la implementación de políticas que promuevan procesos de desarrollo sostenible, lo cual sintetiza los conceptos de equidad social y sustentabilidad ambiental de los territorios nacionales. A partir de ambos vectores, el objetivo de este trabajo es analizar las políticas de ordenamiento del territorio impulsadas por el Ministerio de Planificación Federal, Inversión Pública y Servicios y las políticas ambientales encuadradas en la Secretaría de Ambiente y Desarrollo Sustentable de la República Argentina. Enmarcada en el enfoque metodológico cualitativo, la estrategia utilizada para procesar datos procedentes de fuentes primarias y secundarias, fue el análisis e interpretación de documentos. Los resultados muestran exiguos avances en materia de ordenamiento territorial. A ello se suma la complejidad y superposición de las normas ambientales y la cambiante naturaleza de las políticas públicas que, entre otras razones, obstaculizaron la sanción de una Ley de Desarrollo y Ordenamiento Ambiental del Territorio Argentino.

POLÍTICAS DE ORDENAMIENTO AMBIENTAL DEL TERRITORIO EN LA ARGENTINA CONTEMPORÁNEA

Promover el desarrollo equitativo del territorio es un desafío para gran parte de los gobiernos latinoamericanos. Ello da cuenta de la generación de un nuevo paradigma que reconoce dos vectores fundamentales: el impulso al crecimiento económico con soberanía política, asentado en el proceso de integración regional como plataforma de inclusión en la economía global y la implementación de políticas que promuevan procesos de desarrollo sostenible, lo cual sintetiza los conceptos de equidad social y sustentabilidad ambiental de los territorios nacionales. A partir de ambos vectores, el objetivo de este trabajo es analizar las políticas de ordenamiento del territorio impulsadas por el Ministerio de Planificación Federal, Inversión Pública y Servicios y las políticas ambientales encuadradas en la Secretaría de Ambiente y Desarrollo Sustentable de la República Argentina. Enmarcada en el enfoque metodológico cualitativo, la estrategia utilizada para procesar datos procedentes de fuentes primarias y secundarias, fue el análisis e interpretación de documentos. Los resultados muestran exiguos avances en materia de ordenamiento territorial. A ello se suma la complejidad y superposición de las normas ambientales y la cambiante naturaleza de las políticas públicas que, entre otras razones, obstaculizaron la sanción de una Ley de Desarrollo y Ordenamiento Ambiental del Territorio Argentino.

POLÍTICAS DE ORDENAMIENTO AMBIENTAL DEL TERRITORIO EN LA ARGENTINA CONTEMPORÁNEA

Promover el desarrollo equitativo del territorio es un desafío para gran parte de los gobiernos latinoamericanos. Ello da cuenta de la generación de un nuevo paradigma que reconoce dos vectores fundamentales: el impulso al crecimiento económico con soberanía política, asentado en el proceso de integración regional como plataforma de inclusión en la economía global y la implementación de políticas que promuevan procesos de desarrollo sostenible, lo cual sintetiza los conceptos de equidad social y sustentabilidad ambiental de los territorios nacionales. A partir de ambos vectores, el objetivo de este trabajo es analizar las políticas de ordenamiento del territorio impulsadas por el Ministerio de Planificación Federal, Inversión Pública y Servicios y las políticas ambientales encuadradas en la Secretaría de Ambiente y Desarrollo Sustentable de la República Argentina. Enmarcada en el enfoque metodológico cualitativo, la estrategia utilizada para procesar datos procedentes de fuentes primarias y secundarias, fue el análisis e interpretación de documentos. Los resultados muestran exiguos avances en materia de ordenamiento territorial. A ello se suma la complejidad y superposición de las normas ambientales y la cambiante naturaleza de las políticas públicas que, entre otras razones, obstaculizaron la sanción de una Ley de Desarrollo y Ordenamiento Ambiental del Territorio Argentino ritóriA � a`@�9�o três maneiras de se considerar um objeto único que é o espaço que nos cerca, em uma palavra, o meio ambiente. Estas são três entradas construídas num objeto único, três entradas e, pois, três finalidades diferentes. Os aproximar sem os confundir num sistema tripolar permite introduzir a diversidade e de a flexibilizar num sistema complexo. Estas são três entradas complementares e interativas. O geosistema com finalidade naturalista toma em consideração a “natureza” antropizada. O território com finalidade sócio-econômica corresponde à abordagem clássica da geografia humana. A paisagem com finalidade cultural introduz a dimensão das imagens e das representações. Não há hierarquia entre os três pólos, mas complementaridades: é isto que dá a flexibilidade ao funcionamento científico. A título de reflexão: Para um retorno do geográfico?Em torno de três questões possíveis: (a) O retorno do geográfico será um retorno da disciplina Geografia? (b) Trata-se de uma « ciência diagonal » em curso de criação?(c) Qual é o impacto deste paradigma sobre as aplicações para o aménagement do território e para o “desenvolvimento sustentável”? 

APORTES METODOLÓGICOS PARA LA GESTIÓN TERRITORIAL DEL PERIURBANO MARPLATENSE (PROVINCIA DE BUENOS AIRES, ARGENTINA): APLICACIONES EN EL SECTOR SUR

El crecimiento de las ciudades actuales sobre las áreas naturales o agrícolas circundantes origina territorios en transición sumamente dinámicos que conforman su periurbano. El periurbano constituye una zona de interfase sujeta a transformaciones constantes que manifiesta desajustes en la articulación sociedad-naturaleza. El análisis urbano-rural de las áreas en expansión basado en el modelo tradicional de oposición campo-ciudad, no alcanza para explicar los procesos que se dan en ellas; su comprensión requiere de enfoques capaces de asumir la interacción urbano-rural que define la zona de interfase como los utilizados en el estudio de los sistemas complejos. Partiendo del concepto de territorio, el presente trabajo propone una relectura en el abordaje del periurbano de Mar del Plata a partir del enfoque teórico-metodológico de los sistemas complejos. Se definieron doce sistemas territoriales en el sector sur, utilizando como criterio principal la vocación de uso de suelo considerada más importante en las distintas unidades espaciales. Dichas unidades permitieron establecer lineamientos para la gestión territorial del área en la expectativa de contribuir con alternativas tendientes a la resolución o mitigación de los problemas en el periurbano estudiado.

Interdisciplinary modelling

This article examines one approach to promoting creative and flexible use of mathematical ideas within an interdisciplinary context in the primary curriculum, namely, through modelling. Three classes of fifth-grade children worked on a modelling problem, The First Fleet (Australia’s settlement), situated within the curriculum domains of science and studies of society and environment. Reported here are the cycles of development displayed by one group of children as they worked the problem, together with the range of models created across the classes. Children developed mathematisation processes that extended beyond their regular curriculum, including identifying and prioritising key problem elements, exploring relationships among elements, quantifying qualitative data, ranking and aggregating data, and creating and working with weighted scores. Aspects of Goldin’s (2000, 2007) affective structures also appeared to play an important role in the children's mathematical developments.

Micro-family-owned business : transitory survival mechanism or long term wealth creator?

Principal Topic: Entrepreneurship is key to employment, innovation and growth (Acs & Mueller, 2008), and as such, has been the subject of tremendous research in both the economic and management literatures since Solow (1957), Schumpeter (1934, 1943), and Penrose (1959). The presence of entrepreneurs in the economy is a key factor in the success or failure of countries to grow (Audretsch and Thurik, 2001; Dejardin, 2001). Further studies focus on the conditions of existence of entrepreneurship, influential factors invoked are historical, cultural, social, institutional, or purely economic (North, 1997; Thurik 1996 & 1999). Of particular interest, beyond the reasons behind the existence of entrepreneurship, are entrepreneurial survival and good ''performance'' factors. Using cross-country firm data analysis, La Porta & Schleifer (2008) confirm that informal micro-businesses provide on average half of all economic activity in developing countries. They find that these are utterly unproductive compared to formal firms, and conclude that the informal sector serves as a social security net ''keep[ing] millions of people alive, but disappearing over time'' (abstract). Robison (1986), Hill (1996, 1997) posit that the Indonesian government under Suharto always pointed to the lack of indigenous entrepreneurship , thereby motivating the nationalisation of all industries. Furthermore, the same literature also points to the fact that small businesses were mostly left out of development programmes because they were supposed less productive and having less productivity potential than larger ones. Vial (2008) challenges this view and shows that small firms represent about 70% of firms, 12% of total output, but contribute to 25% of total factor productivity growth on average over the period 1975-94 in the industrial sector (Table 10, p.316). ---------- Methodology/Key Propositions: A review of the empirical literature points at several under-researched questions. Firstly, we assess whether there is, evidence of small family-business entrepreneurship in Indonesia. Secondly, we examine and present the characteristics of these enterprises, along with the size of the sector, and its dynamics. Thirdly, we study whether these enterprises underperform compared to the larger scale industrial sector, as it is suggested in the literature. We reconsider performance measurements for micro-family owned businesses. We suggest that, beside productivity measures, performance could be appraised by both the survival probability of the firm, and by the amount of household assets formation. We compare micro-family-owned and larger industrial firms' survival probabilities after the 1997 crisis, their capital productivity, then compare household assets of families involved in business with those who do not. Finally, we examine human and social capital as moderators of enterprises' performance. In particular, we assess whether a higher level of education and community participation have an effect on the likelihood of running a family business, and whether it has an impact on households' assets level. We use the IFLS database compiled and published by RAND Corporation. The data is a rich community, households, and individuals panel dataset in four waves: 1993, 1997, 2000, 2007. We now focus on the waves 1997 and 2000 in order to investigate entrepreneurship behaviours in turbulent times, i.e. the 1997 Asian crisis. We use aggregate individual data, and focus on households data in order to study micro-family-owned businesses. IFLS data covers roughly 7,600 households in 1997 and over 10,000 households in 2000, with about 95% of 1997 households re-interviewed in 2000. Households were interviewed in 13 of the 27 provinces as defined before 2001. Those 13 provinces were targeted because accounting for 83% of the population. A full description of the data is provided in Frankenberg and Thomas (2000), and Strauss et alii (2004). We deflate all monetary values in Rupiah with the World Development Indicators Consumer Price Index base 100 in 2000. ---------- Results and Implications: We find that in Indonesia, entrepreneurship is widespread and two thirds of households hold one or several family businesses. In rural areas, in 2000, 75% of households run one or several businesses. The proportion of households holding both a farm and a non farm business is higher in rural areas, underlining the reliance of rural households on self-employment, especially after the crisis. Those businesses come in various sizes from very small to larger ones. The median business production value represents less than the annual national minimum wage. Figures show that at least 75% of farm businesses produce less than the annual minimum wage, with non farm businesses being more numerous to produce the minimum wage. However, this is only one part of the story, as production is not the only ''output'' or effect of the business. We show that the survival rate of those businesses ranks between 70 and 82% after the 1997 crisis, which contrasts with the 67% survival rate for the formal industrial sector (Ter Wengel & Rodriguez, 2006). Micro Family Owned Businesses might be relatively small in terms of production, they also provide stability in times of crisis. For those businesses that provide business assets figures, we show that capital productivity is fairly high, with rates that are ten times higher for non farm businesses. Results show that households running a business have larger family assets, and households are better off in urban areas. We run a panel logit model in order to test the effect of human and social capital on the existence of businesses among households. We find that non farm businesses are more likely to appear in households with higher human and social capital situated in urban areas. Farm businesses are more likely to appear in lower human capital and rural contexts, while still being supported by community participation. The estimation of our panel data model confirm that households are more likely to have higher family assets if situated in urban area, the higher the education level, the larger the assets, and running a business increase the likelihood of having larger assets. This is especially true for non farm businesses that have a clearly larger and more significant effect on assets than farm businesses. Finally, social capital in the form of community participation also has a positive effect on assets. Those results confirm the existence of a strong entrepreneurship culture among Indonesian households. Investigating survival rates also shows that those businesses are quite stable, even in the face of a violent crisis such as the 1997 one, and as a result, can provide a safety net. Finally, considering household assets - the returns of business to the household, rather than profit or productivity - the returns of business to itself, shows that households running a business are better off. While we demonstrate that uman and social capital are key to business existence, survival and performance, those results open avenues for further research regarding the factors that could hamper growth of those businesses in terms of output and employment.

Reconceptualizing statistical learning in the early years

This chapter argues for the need to restructure children’s statistical experiences from the beginning years of formal schooling. The ability to understand and apply statistical reasoning is paramount across all walks of life, as seen in the variety of graphs, tables, diagrams, and other data representations requiring interpretation. Young children are immersed in our data-driven society, with early access to computer technology and daily exposure to the mass media. With the rate of data proliferation have come increased calls for advancing children’s statistical reasoning abilities, commencing with the earliest years of schooling (e.g., Langrall et al. 2008; Lehrer and Schauble 2005; Shaughnessy 2010; Whitin and Whitin 2011). Several articles (e.g., Franklin and Garfield 2006; Langrall et al. 2008) and policy documents (e.g., National Council of Teachers ofMathematics 2006) have highlighted the need for a renewed focus on this component of early mathematics learning, with children working mathematically and scientifically in dealing with realworld data. One approach to this component in the beginning school years is through data modelling (English 2010; Lehrer and Romberg 1996; Lehrer and Schauble 2000, 2007)...

Corporate fraud culture: Re-examining the corporate governance and performance relation

We analyse the corporate governance and performance relation, when conditioning on corporate fraud, for fraud firms during 2000 – 2007. Fraud firms are identified as either self- reported fraud events, or subject to regulatory investigation. We use the inverse Mills ratio procedure to account for firms' (unobservable) fraud culture in the dynamic system GMM model of the performance- governance relation. We find that corporate governance is an endogenously determined characteristic that has no causal impact on firm performance when conditioning on fraud. Fraud is a significant regulatory event but its overall economic impact at the firm level is highly variable.

Young, gifted and spiritual -The case of Finnish sixth-grade pupils

The aim of this study was to explore the spirituality of Finnish academically gifted 12 13-year old pre-adolescents (N = 101). Their spirituality was investigated through the following three questions: (1) What is their relationship to religion? (2) How do they perceive transcendence? and (3) How does their search for meaning integrate into their lives? A total of 60 girls and 41 boys participated in the study. They attend a special school, Helsingin Suomalainen yhteiskoulu, in Helsinki, Finland. The school includes classes from grade 3 to upper secondary school and has an entrance test. This study is part of a research project called Actualizing Finnish Giftedness which is funded by the Finnish Academy between 2000 2007 and is led by Professor Tirri. The research project is based on Gardner s Multiple Intelligences theory (Gardner 1993) and on Hay s (1998) work on spirituality. The data in this study was gathered in 2003 and 2004. It includes both qualitative and quantitative material. The emphasis is on data gathered with interviews. The mixed method approach was used as the methodological framework for connecting the qualitative content analysis, phenomenological approach and the quantitative tests of this study. The results of the sub-studies are reported in full in the four original articles. First, the articles show that the pupils connect religion mainly with Christian institutions and do not consider religion and spirituality to overlap. Second, the articles show that the pupils believe in God and the interference of God in their lives and they think that reality includes a spiritual dimension. Third, the pupils had four kinds of existentially significant interests: personal, transcendental, cosmic and ethical. Cosmic interests were especially highlighted in the article concerning boys as nature and science were reported to be integral sources for their existential thinking. In addition, perceptions on God seemed to be connected to the individual s perception on the meaning of life. In RE, spiritual development has been a constant topic of interest since the late eighties. Likewise, recently in gifted education there have been discussions concerning spiritual intelligence (Gardner 1999) and spirituality of the gifted (Kerr & Cohn 2001). Based on the empirical results of the study, this study concludes that education wishing to promote spiritual development should aim at being existentially relevant to the pupils and use their existential search as an integrative framework for their individual talents and skills.

Sustainability and Mission Drift in Microfinance

Microfinance institutions (MFIs) are constrained by double bottom-lines: meeting social obligations (the first bottom-line) and obtaining financial self-sufficiency (the second bottom-line). The proponents of the first bottom-line, however, are increasingly concerned that there is a trade-off between these two bottom-lines—i.e., getting hold of financial self-sufficiency may lead MFIs to drift away from their original social mission of serving the very poor, commonly known as mission drift in microfinance which is still a controversial issue. This study aims at addressing the concerns for mission drift in microfinance in a performance analysis framework. Chapter 1 deals with theoretical background, motivation and objectives of the topic. Then the study explores the validity of three major and related present-day concerns. Chapter 2 explores the impact of profitability on outreach-quality in MFIs, commonly known as mission drift, using a unique panel database that contains 4-9 years’ observations from 253 MFIs in 69 countries. Chapter 3 introduces factor analysis, a multivariate tool, in the process of analysing mission drift in microfinance and the exercise in this chapter demonstrates how the statistical tool of factor analysis can be utilised to examine this conjecture. In order to explore why some microfinance institutions (MFIs) perform better than others, Chapter 4 looks at factors which have an impact on several performance indicators of MFIs—profitability or sustainability, repayment status and cost indicators—based on quality-data on 353 institutions in 77 countries. The study also demonstrates whether such mission drift can be avoided while having self-sustainability. In Chapter 5 we examine the impact of capital and financing structure on the performance of microfinance institutions where estimations with instruments have been performed using a panel dataset of 782 MFIs in 92 countries for the period 2000-2007. Finally, Chapter 6 concludes the study by summarising the results from the previous chapters and suggesting some directions for future studies.

Critical leg ischaemia with tissue loss : a challenge for the vascular surgeon

There is a widespread reporting habit of combining the outcomes for patients with rest pain (Fontaine III) and tissue loss (Fontaine IV) under the single category of critical leg ischaemia (CLI). This study focused on patients with ischaemic tissue loss treated with infrainguinal bypass surgery (IBS). All patients included in the study were treated at Helsinki University Central Hospital in 2000-2007. First, ulcer healing time after IBS and factors influencing healing time were prospectively assessed in 2 studies including 148 and 110 patients, respectively. Second,the results of redo IBS were retrospectively evaluated in 593 patients undergoing primary IBS for CLI with tissue loss . Third,long-term outcome were retrospectively analysed in 636 patients who underwent IBS for CLI with tissue loss . Fourth, the outcome of IBS was retrospectively compared with endovascular treatment (PTA) of the infrapopliteal arteries in 1023 CLI patients. Fifth, the influence multidrug resistant Pseudomans aeruginosa (MDR Pa) bacteria contamination in CLI patients treated with IBS was retropectively assessed. Sixty-four patients with positive MDR Pa -culture were matched with 64 MDR Pa - negative controls. Complete ulcer healing rate, including the ischemic ulcers and incisional wounds, was 40% at 6 months after IBS and 75% at one year. Diabetes was a risk factor for prolonged complete ulcer healing time. Ischaemic tissue lesions located in mid-and hindfoot healed poorly. At one year after IBS 50% of the patients were alive with salvaged leg and completely healed ulcers. The absence of gap between tertiary graft patency and leg salvage rates indicates the importance of a patent infrainguinal graft to save a leg with ischaemic tissue loss. Long-term survival for patients with ischaemic tissue loss was poor, 38% at 5 years. Only 30% of the patients were alive without amputation at 5 years. Several of the patient comorbidities increased independently the mortality risk; coronary artery disease, renal insufficiency, chronic obstructive lung disease and high age. When both PTA and bypass is feasible, infrapopliteal PTA as a first-line strategy is expected to achieve similar long-term results to bypass surgery in CLI when redo surgery is actively utilized. MDR Pa in a patient with CLI should be considered as a serious event with increased risk of early major amputation or death. Conclusion: Despite a successful infrainguinal bypass healing of the ischaemic ulcers and incisional wounds ulcer healing is a slow process especially in diabetics. Bypass surgery and PTA improve the outcome of the ischaemic leg but the mortality rate of the patients is high due to their severe comorbidities.

Begränsat tillträde Unga invandrares känsla av tillhörighet i en finlandssvensk kontext

Att ha tillträde till olika arenor i samhället är viktigt, speciellt för unga är känslan av tillhörighet väsentligt för välbefinnandet. I min pro gradu-avhandling synliggör jag de ungas beskrivningar av sina liv och sina erfarenheter av vad det innebär att vara ”invandrare” i Helsingforsregionen med svenska som första främmande språk. Språkkunskaper och förmåga att uttrycka sig samt att använda språket väl blir allt mer relevant i det mångkulturella samhället där människor med olika kulturella bakgrunder möts. Med hjälp av språkkunskaper ges tillträde till den värld som uttrycks och förutsätts via språket. Min teoretiska referensram är förankrad i finländsk och svensk forskning om invandring, tillhörighet, etnicitet och identitetsom tar fasta på ungdomar. Viktiga källor är bland andra Tuomas Martikainen & Lotta Haikkola (2010) och Karmela Liebkind (2000, 2007 m.fl.) Tore Otterups (2005) avhandling om ungdomars flerspråkighet och identitetskonstruktion ger bakgrundskunskap till min studie. Med hjälp av kvalitativa temaintervjuer som undersökningsmetod ger min studie en bild av invandrarungdomarnas uppfattningar, erfarenheter och känslor. De unga som är intervjuade i min pro gradu-avhandling studerar alla vid en svenskspråkig skolinstans i södra Finland. Mina informater är alla födda utanför Finlands gränser och ingendera föräldern är född finländsk, de har alla lärt sig svenska som första främmande språk i Finland. Mitt material består av elva temaintervjuer. De unga i min pro gradu-avhandling poängterar att deras känsla av tillhörighet och tillträde till olika kulturella kontexter är sammankopplat med språkkunskaper. Forskningsresultaten visar att språkkunskaper ger tillträde och ökade möjligheter i det mångkulturella samhället som vi lever i.