Tietoisen läsnäolon harjoituksia opettajan työkalupakkiin?

Kirjallisuusarvostelu

Luovuuden estämisestä ja edistämisestä

Kirjallisuusarvostelu

Datasta toimintaan! Liiketoimintatiedon hallinta organisaation päätöksenteossa

Digitalisoituminen on lisännyt datan ja tiedon määrää huomattavasti viime vuosien aikana. Organisaatioiden on pystyttävä muuttamaan tämä tieto toiminnaksi. Tässä tutkimuksessa tutkittiin, miten tätä tietoa voidaan käyttää hyväksi päätöksenteossa. Tutkimuksen tarkoitus oli myös selvittää tapausorganisaation osalta sen liiketoimintatiedon hallinnan nykytilanne ja kypsyysaste, jotta sille voidaan asettaa tavoitetila ja luoda kehityssuunnitelma. Tutkimus toteutettiin kvalitatiivisena tapaustutkimuksena. Empiirisen tutkimuksen kohteena oli globaali teollisuuden alan organisaation Suomessa sijaitseva yksikkö. Tutkimuksen empiirinen aineisto kerättiin puolistrukturoiduilla haastatteluilla, joita tehtiin tapausorganisaation edustajille. Tutkimus osoitti, että uusien tietolähteiden syntyminen on tuonut haasteita tiedonhallinnan osalta. Liiketoimintatiedon hallintaa tulee tarkastella kokonaisuudessaan sekä liiketoiminnan että teknologian näkökulmasta. Organisaation on hyvä tietää oma asemoitumisensa, jotta se pystyy kehittämään

Turun kaupungin ruutukaava-alueen kartografinen kuvaaminen 1600-luvulta nykypäivään

Kaupunkikartoituksen historia alkaa Suomessa Olof Gangiuksen piirtämästä kaupunkikartasta vuodelta 1634. Tämä kartta on Suomen vanhin mittauksiin perustuva kaupunkikartta. Myöhemmin Turusta, Suomen vanhimmasta kaupungista, on julkaistu karttoja runsaasti, joista tässä työssä käsitellään kymmentä aikakaudelleen tyypillistä kuvausta vuodesta 1634 vuoteen 2011. Tutkimuksessa vertaillaan karttoja, joiden mittaustavassa tai valmistusajankohdassa on jokin tietty erikoisuutensa tai tunnusmerkkinsä. Kaikki tutkittavat historialliset kartat on oikaistu koordinaatistoon paikkatieto-ohjelmalla. Tutkimuksessa selvitetään miten koordinaatistoon oikaistut eri aikakausien kartat kuvaavat Turun ruutukaava-aluetta. Vertailussa keskitytään pääasiassa tiettyihin kohteisiin (tuomiokirkkoon, Turun linnaan, Vartiovuorenmäkeen ja Kauppatoriin), koska ne ovat löydettävissä suurimmassa osassa kartoista. Tutkimuksessa tarkastellaan tapahtuneita kaupunkikuvaamisessa tapahtuineita muutoksia vuosisatojen ajalta ja syitä niihin. Lisäksi pohditaan paikkatieto-ohjelmien hyötyjä ja haasteita historiallisiin karttoihin perustuvissa tutkimuksissa. Tutkimuksessa vertaillaan historiallisia kaupunkikarttoja retrospektiivisesti toisiinsa sekä lisäksi jokaista karttaa verrataan nykyiseen ruutukaavarakenteeseen.. Tutkimuksessa on myös selvitetty kaupunkikartoituksen historiaa laajasti. Tuloksissa esiin nousi Turun kaupungin muuttuminen maaseutumaisesta asutuskeskittymästä runsasväestöiseksi kaupungiksi. Kasvanut väestömäärä ja runsastunut rakennus- ja liikennekanta ovat muovanneet kaupunkirakennetta vahvasti ja nämä muutokset näkyvät kartoilla selkeästi. Teknologian sekä mittausvälineiden ja -tapojen kehittyminen ovat osaltaan muokanneet eri aikakauden karttoja. Tutkimuksessa selvisi karttojen mittaustulosten tarkkuuden suuri vaihtelevuus riippumatta kartan valmistusvuodesta. Aineiston vanhin kartta on virhekeskiarvoa vertaillen parempi mittaustarkkuudeltaan kuin aineiston nuorin oikaistu kartta. Tutkimustulosten perusteella Turun ruutukaava-alueella on suuri määrä kohteita, joiden kuvaaminen kartoilla on ollut tärkeää kartoitustoiminnan aloituksesta asti.

Prevalencia de los síntomas otorrinolaringológicos y factores asociados en los trabajadores de una central de llamadas en la ciudad de Bogotá Colombia

La industria de las centrales de llamadas es uno de los sectores de más rápido crecimiento en el mundo desarrollado, gracias a los avances tecnológicos han permitido su uso cada vez más generalizado desarrollando servicios integrales que son accesibles las 24 horas del día. Los operadores telefónicos o tele-operadores de esta industria se ven enfrentados a jornadas laborales en las que se exponen al uso constante de la voz, utilización permanente de auriculares de comunicación, confinamiento en estaciones de trabajo delimitadas pero no aisladas; aumentando así la prevalencia de síntomas como los otorrinolaringológicos. Este estudio tiene como objeto identificar la prevalencia de síntomas otorrinolaringológicos dados por alteraciones de la voz, compromiso auditivo y síntomas de la vía respiratoria superior durante la jornada laboral de los trabajadores de una central de llamadas de una prestigiosa empresa aseguradora de la ciudad de Bogotá Colombia, así como también identificar la asociación de factores demográficos organizacionales y biológicos con los síntomas otorrinolaringológicos y analizar el medio ambiente laboral de dicha empresa y la relación de los síntomas otorrinolaringológicos con mediciones de ruido, temperatura y humedad. La población estudiada fue de 81 tele operadores de los cuales 61 (75.3%) fueron mujeres, se evidencio que las enfermedades respiratorias altas tienen una prevalencia del 36%, también se reporto una prevalencia del 85% (69) tele operadores reportaron por lo menos un síntoma de voz y solo 12 tele operadores 15% no reportaron ningún síntoma. En cuanto a la hipoacusia solo 5 (6.2%) reportaron disminución de la agudeza auditiva

Harnessing microbiome and probiotic research in sub-Saharan Africa: recommendations from an African workshop

To augment capacity-building for microbiome and probiotic research in Africa, a workshop was held in Nairobi, Kenya, at which researchers discussed human, animal, insect, and agricultural microbiome and probiotics/prebiotics topics. Five recommendations were made to promote future basic and translational research that benefits Africans.

Symptomatic plate removal after treatment of facial fractures

AIMS: To identify the rates and reasons for plate removal (PR) among patients treated for facial fractures. MATERIALS AND METHODS: A retrospective review of files of 238 patients. RESULTS: Forty-eight patients (20.2%) had plates removed. The reason for removal was objective in 33.3% and subjective in 29.2%. The most common subjective reason was cold sensitivity, and the most common objective reason was wound dehiscence/infection. Women had PR for subjective reasons more often than men (p=0.018). Removal was performed more often for subjective reasons after zygomatico-orbital fractures than after mandibular fractures (p=0.002). Plates inserted in the mandible from an intraoral approach were removed more frequently than extraorally inserted mandibular plates, intraorally inserted maxillary plates, and extraorally inserted plates in other locations (p<0.001). Orbital rim plates had a higher risk of being removed than maxillary or frontal bone plates (p=0.02). CONCLUSIONS: Subjective discomfort is a notable reason for PR among Finnish patients, suggesting that the cold climate has an influence on the need for removal. Patients receiving mandibular osteosynthesis with miniplates from an intraoral approach are at risk of hardware removal because of wound dehiscence/infection and loose/broken hardware, reminding us that more rigid fixation devices should not be forgotten despite the widespread use of miniplates.

Occurrence and types of associated injuries in patients with fractures of the facial bones

PURPOSE: To identify the occurrence, types, and severity of associated injuries outside the facial region among patients diagnosed with facial fractures, and to analyze whether there are any factors related to associated injuries. MATERIALS AND METHODS: This was a cross-sectional study of 401 patients diagnosed with facial fractures during the 2-year period from 2003 to 2004. RESULTS: Associated injuries were observed in 101 patients (25.2%). The most common type of injury was a limb injury (13.5%), followed by brain (11.0%), chest (5.5%), spine (2.7%), and abdominal (0.8%) injuries. Multiple associated injuries were observed in 10% and polytrauma in 7.5%. The mortality rate was 0.2%. The occurrence of associated injury correlated significantly with trauma mechanism and fracture type; high-speed accidents and severe facial fractures were significant predictors of associated injury. CONCLUSIONS: Associated injuries are frequent among patients who have sustained facial fractures. The results underscore the importance of multiprofessional collaboration in diagnosis and sequencing of treatment, but also the importance of arranging appropriate clinical rotations for maxillofacial residents in training.

The design of artificial nestboxes for the study of secondary hole-nesting birds: a review of methodological inconsistencies and potential biases

The widespread use of artificial nestboxes has led to significant advances in our knowledge of the ecology, behaviour and physiology of cavity nesting birds, especially small passerines Nestboxes have made it easier to perform routine monitoring and experimental manipulation of eggs or nestlings, and also repeatedly to capture, identify and manipulate the parents However, when comparing results across study sites the use of nestboxes may also Introduce a potentially significant confounding variable in the form of differences in nestbox design amongst studies, such as their physical dimensions, placement height, and the way in which they are constructed and maintained However, the use of nestboxes may also introduce an unconsidered and potentially significant confounding variable clue to differences in nestbox design amongst studies, such as their physical dimensions, placement height, and the way in which they are constructed and maintained Here we review to what extent the characteristics of artificial nestboxes (e g size, shape, construction material, colour) are documented in the 'methods' sections of publications involving hole-nesting passerine birds using natural or excavated cavities or artificial nestboxes for reproduction and roosting Despite explicit previous recommendations that authors describe in detail the characteristics of the nestboxes used, we found that the description of nestbox characteristics in most recent publications remains poor and insufficient We therefore list the types of descriptive data that should be included in the methods sections of relevant manuscripts and justify this by discussing how variation in nestbox characteristics can affect or confound conclusions from nestbox studies We also propose several recommendations to improve the reliability and usefulness of research based on long-term studies of any secondary hole-nesting species using artificial nestboxes for breeding or roosting.

Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study

The CIAO Study ("Complicated Intra-Abdominal infection Observational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012).Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.2,152 patients with a mean age of 53.8 years (range: 4-98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified.The overall mortality rate was 7.5% (163/2.152).According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission.Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe.

Complicated intra-abdominal infections in Europe: preliminary data from the first three months of the CIAO Study

The CIAO Study is a multicenter observational study currently underway in 66 European medical institutions over the course of a six-month study period (January-June 2012).This preliminary report overviews the findings of the first half of the study, which includes all data from the first three months of the six-month study period.Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.912 patients with a mean age of 54.4 years (range 4-98) were enrolled in the study during the first three-month period. 47.7% of the patients were women and 52.3% were men. Among these patients, 83.3% were affected by community-acquired IAIs while the remaining 16.7% presented with healthcare-associated infections. Intraperitoneal specimens were collected from 64.2% of the enrolled patients, and from these samples, 825 microorganisms were collectively identified.The overall mortality rate was 6.4% (58/912). According to univariate statistical analysis of the data, critical clinical condition of the patient upon hospital admission (defined by severe sepsis and septic shock) as well as healthcare-associated infections, non-appendicular origin, generalized peritonitis, and serious comorbidities such as malignancy and severe cardiovascular disease were all significant risk factors for patient mortality.White Blood Cell counts (WBCs) greater than 12,000 or less than 4,000 and core body temperatures exceeding 38°C or less than 36°C by the third post-operative day were statistically significant indicators of patient mortality.