978 resultados para Toiviainen, Kalevi: Kirkon kaapin päällä : sata vuotta - 50 vaikuttajaa


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Vatikaanin radion 80-vuotisnäyttely Vatikaanin museossa.

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Kirjallisuusarvostelu

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OBJETIVO: Descrever o protocolo de tratamento no Centro de Atendimento Integral ao Fissurado Lábio-Palatal em Curitiba (CAIF); (b) avaliar as motivações e expectativas em relação ao tratamento e (c) avaliar a percepção de inclusão e integração social obtida pelo procedimento. MÉTODO: Estudo observacional, retrospectivo com todos os 50 participantes recrutados entre os pacientes submetidos ao procedimento de reposicionamento de pré-maxila, no período de janeiro de 2003 a julho de 2005, no Centro de Atendimento Integral ao Fissurado Lábio-Palatal em Curitiba (CAIF), Paraná. Foi aplicado questionário de avaliação RESULTADOS: Com relação ao protocolo de atendimento, os resultados evidenciaram sucesso em 90% das cirurgias. Quanto às expectativas cirúrgicas e de integração social, estas mostraram que 76% procuraram a cirurgia por motivos de insatisfação pessoal e, 86% relataram maior confiança em si mesmo, após a cirurgia. CONCLUSÃO: O protocolo de reposicionamento cirúrgico da pré-maxila é uma técnica viável para o tratamento dos pacientes portadores de fissura bilateral do processo alveolar; a maioria dos pacientes submetidos ao tratamento de reposicionamento de pré-maxila percebeu o tratamento como continuidade dos cuidados dispensados, participou por indicação médica, com expectativa de melhora no aspecto pessoal e melhora da autoconfiança e, 96% deles, manifestaram satisfação com os resultados obtidos, o que facilita a inclusão e integração social dos mesmos.

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This study is made as a part of the Chembaltic (Risks of Maritime Transportation of Chemicals in Baltic Sea) project which gathers information on the chemicals transported in the Baltic Sea. The purpose of this study is to provide an overview of handling volumes of liquid bulk chemicals (including liquefied gases) in the Baltic Sea ports and to find out what the most transported liquid bulk chemicals in the Baltic Sea are. Oil and oil products are also viewed in this study but only in a general level. Oils and oil products may also include chemical-related substances (e.g. certain bio-fuels which belong to MARPOL annex II category) in some cargo statistics. Chemicals in packaged form are excluded from the study. Most of the facts about the transport volumes of chemicals presented in this study are based on secondary written sources of Scandinavian, Russian, Baltic and international origin. Furthermore, statistical sources, academic journals, periodicals, newspapers and in later years also different homepages on the Internet have been used as sources of information. Chemical handling volumes in Finnish ports were examined in more detail by using a nationwide vessel traffic system called PortNet. Many previous studies have shown that the Baltic Sea ports are annually handling more than 11 million tonnes of liquid chemicals transported in bulk. Based on this study, it appears that the number may be even higher. The liquid bulk chemicals account for approximately 4 % of the total amount of liquid bulk cargoes handled in the Baltic Sea ports. Most of the liquid bulk chemicals are handled in Finnish and Swedish ports and their proportion of all liquid chemicals handled in the Baltic Sea is altogether over 50 %. The most handled chemicals in the Baltic Sea ports are methanol, sodium hydroxide solution, ammonia, sulphuric and phosphoric acid, pentanes, aromatic free solvents, xylenes, methyl tert-butyl ether (MTBE) and ethanol and ethanol solutions. All of these chemicals are handled at least hundred thousand tonnes or some of them even over 1 million tonnes per year, but since chemical-specific data from all the Baltic Sea countries is not available, the exact tonnages could not be calculated in this study. In addition to these above-mentioned chemicals, there are also other high volume chemicals handled in the Baltic Sea ports (e.g. ethylene, propane and butane) but exact tonnes are missing. Furthermore, high amounts of liquid fertilisers, such as solution of urea and ammonium nitrate in water, are transported in the Baltic Sea. The results of the study can be considered indicative. Updated information about transported chemicals in the Baltic Sea is the first step in the risk assessment of the chemicals. The chemical-specific transportation data help to target hazard or e.g. grounding/collision risk evaluations to chemicals that are handled most or have significant environmental hazard potential. Data gathered in this study will be used as background information in later stages of the Chembaltic project when the risks of the chemicals transported in the Baltic Sea are assessed to highlight the chemicals that require special attention from an environmental point of view in potential marine accident situations in the Baltic Sea area.

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OBJECTIVE: to evaluate a one year experience with inguinal hernia repair, in patients of > 50years, with respect to the type of inguinal hernia, type of surgery, postoperative complications and recurrence. METHODS: a prospective descriptive study of patients (n=57) > 50 years operated for inguinal hernia during a one year period. Tension-free meshplasty and herniorrhaphy, using 3"x6" polypropylene mesh and 2-0 polypropylene suture, were performed in elective and emergency surgery respectively. Follow-up visits were scheduled at six weeks, three and six months postoperatively. RESULTS: the most representative age group was 61-70 years, and all patients were male. 52 (91.22%) patients had unilateral inguinal hernias, while five (8.77%) had bilateral hernias. In 50 (87.71%) patients, the hernia was uncomplicated, while seven (12.28%) patients presented with some complication such as obstruction or strangulation. Elective surgery was performed in 50 (87.71%) patients while seven (12.28%) patients were operated in emergency. Postoperatively, 50 (87.7%) patients had uneventful recovery, while seven (12.28%) patients developed some complications which were treated conservatively. Mean hospital stay was six days. One recurrence was observed and there was no peri/postoperative death. CONCLUSION: tension-free meshplasty and herniorrhaphy are safe, simple and applicable even in elderly patients after adequate pre-operative assessment and optimization. Although associated with longer hospital stay, the mortality rate is nil and complication as well as recurrence rate is low. Hence, timely repair is necessary in elderly patients even in those with comorbid conditions.

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Helsingin ympäristön rakennuskulttuuria on tutkittu pitkään. Kunnalliset ja maakunnalliset museot, museovirasto ja kaupunkisuunnitteluviranomaiset ja monet tutkijat ovat tehneet perusteellista työtä. Nyt nämä tiedot on yhtenäistetty ja koottu yksiin kansiin. Rakennuskulttuuria on tarkasteltu tiheästi rakennettujen kaupunkiympäristöjen ulkopuolella. Olemme keskittyneet maaseudun vanhoihin, arvokkaisiin ja mielenkiintoisiin kohteisiin. Viisikymmentä vuotta nuorempia kohteita ei yleensä ole mukana. Alue käsittää puoliympyrän, jonka säde on runsaat 50 km Helsingin keskustasta mitattuna. Rakennuskulttuuriin kuuluu tässä kaikki se mitä ihminen on muokannut maaseutumaisemassa. Muinaismuistot, vanhat tiet, meriväylät ja viljelymaisemat kuuluvat rakennuskulttuuriin yhtä hyvin kuin kylät, kartanot, talonpoikaistalot ja torpat. Olemme käsitelleet kesähuviloita ja urheilumajoja yhtä hyvin kuin teollisuuden ja kaupan ympäristöjä ja julkisten laitosten alueita. Puistot ja puutarhat ovat mukana ensisijaisesti rakennusten ympäristöinä. Tältä osin inventoinnit eivät ole vielä aivan täydellisiä. Kohteita on kaikkiaan 2000 kpl kahdeksassatoista kunnassa ulkosaaristosta kansallispuiston syviin metsiin asti. Olemme käsitelleet kesähuviloita ja urheilumajoja yhtä hyvin kuin teollisuuden ja kaupan ympäristöjä ja julkisten laitosten alueita. Puistot ja puutarhat ovat mukana ensisijaisesti rakennusten ympäristöinä. Tältä osin inventoinnit eivät ole vielä aivan täydellisiä. Kohteita on kaikkiaan 2000 kpl kahdeksassatoista kunnassa ulkosaaristosta kansallispuiston syviin metsiin asti.