Mammapalstat : Voimaantuminen vanhoillislestadiolaisten äitien internetyhteisöissä

Tutkimuksen tarkoituksena oli selvittää, millaisia voimaantumisen kokemuksia äideillä on vanhoillislestadiolaisten äitien suljetuissa internetyhteisöissä. Lisäksi tutkimuksessa tarkasteltiin sitoutumista voimaantumisen tuloksena. Tutkimuksen kohteena oli kolme vanhoillislestadiolaisten äitien internetyhteisöä, joita kutsutaan mammapalstoiksi. Tutkimusote oli kvalitatiivinen. Aineisto kerättiin keväällä 2007. Tutkimusaineistona oli kymmenen vanhoillislestadiolaisen äidin haastattelut eri puolilla Suomea. Haastattelujen tarkoituksena oli saada äitien kokemuksia voimaantumisesta tietyillä osa-alueilla ja siitä syystä haastattelut suoritettiin teemahaastatteluina. Tutkimuksen teoreettinen viitekehys pohjautui Siitosen voimaantumisen teoriaan, jonka ytimenä on voimaantuminen yksilön henkilökohtaisena prosessina. Tutkimuksessa käytetiin soveltavasti apuna myös Siitosen katalyytti-ideaa, jonka mukaan vahva voimaantuminen johtaa vahvaan sitoutumiseen. Teoreettinen viitekehys toimi suuntaa antavana, mutta analyysissa jätettiin tilaa myös tutkittavan ilmiön aineistolähtöisille ominaispiirteille. Sisällönanalyysissa aineistosta kerättiin kaikki voimaantumiseen liittyvät ilmaukset ja ne jaettiin sisällön mukaisiin ryhmiin. Jaottelun tuloksena muodostui neljä voimaantumisen ulottuvuutta, jotka kuvaavat kukin voimaantumisen kokemuksia mammapalstoilla eri näkökulmasta. Näitä ulottuvuuksia olivat virtuaalisuus, identifikaatio, yhteisöllisyys ja itsetietoisuus.Virtuaalinen ulottuvuus kuvaa niitä tekijöitä, jotka internetin ja tekniikan puolesta vaikuttavat voimaantumiseen. Internetissä toimivat mammapalstat toivat etäisyyttä niin taustayhteisöön kuin muihin äiteihinkin, mikä helpotti vaikeista asioista keskustelua. Identifikaation eli samastumisen ulottuvuus luo näkökulman äitien yhteiseen taustaan vanhoillislestadiolaiseen liikkeeseen kuuluvina. Voimaantumiseen vaikuttivat positiivisesti äitien samankaltainen arvomaailma ja elämäntilanne, kun voitiin jakaa asioita ymmärtävässä seurassa.Yhteisöllinen ulottuvuus valottaa voimaantumiseen vaikuttavia tekijöitä yhteisön toiminnan kautta. Toimiva ja tasa-arvoiseksi koettu yhteisö toi hyväksytyksi tulemisen kokemuksia, mikä lisäsi äitien uskoa omiin kykyihin selvitä elämässä.Itsetietoisuuden ulottuvuus kuvaa vertaistuen merkitystä yksilön itseluottamuksen kasvulle ja siten voimaantumiselle. Analyysin tuloksena mammapalstat päädyttiin näkemään äitien itsensä määrittäminä henkisinä tiloina äidiksi kasvamisessa ja uuteen rooliin sopeutumisessa. Voimaantumisen prosessi toimi haastateltujen kohdalla kahdella tasolla: Voimaantuminen johti taustayhteisön normistoon sopeutumiseen. Äidit myös sitoutuivat oman hyvinvointinsa hoitamiseen ja kehittämiseen. Tutkimuksen päätuloksena oli, että mammapalstat toimivat osana vanhoillislestadiolaisten äitien elämänhallintaa. Mammapalstat auttoivat äitejä luottamaan tulevaisuuteen ja selviytymään yhteiskunnan ja taustayhteisön normistoon sopeutumisen ristipaineessa. Äitiys nähtiin vanhoillislestadiolaisen liikkeen kantavaksi rakenteeksi ja siten äitiydessä tapahtuvat muutokset koskettavat koko liikettä.

Tiedon jakaminen tiimityössä

Knowledge-sharing in a teamwork The study examines the link between knowledge-sharing that takes place in a team and the dimensions and objectives of the team s activities. The question the study poses is: How does knowledge-sharing in a team relate to the team s activities? The exchange of knowledge is examined using knowledge-sharing networks and the conversion model, which describes the process of knowledge formation. The answer to the question is sought through four empirical articles describing the activities of a team from the viewpoint of quality, fairness, power related to knowledge management, and performance. One of the articles used in the study describes the role of networks in work life more generally. It attempts to shed light on the manner in which team-related networks operate as part of a more extensive structure of organizational networks. Finland is one of the most eager users of teamwork, if numbers are used as a yardstick. About half of all Finnish wage earners worked in teams in 2009, and comparisons show that the use of teams in Finland is above the EU average. This study focuses on so-called semi-autonomous teams, which carry out permanent work tasks. In such teams, tasks are interdependent, and teams are jointly responsible for ensuring that the work is done. Team members may also, at least to some extent, agree between themselves on how the tasks are carried out and are able to take part in the decision-making process. Such teamwork makes knowledge-sharing an important element for the team s activities. Knowledge and knowledge-sharing have become a major resource, allowing organizations to operate and even compete in today s increasingly competitive markets. A single team or a single organization cannot, however, possess all the knowledge required for carrying out the tasks assigned to it. Although it is difficult to copy the knowledge generated in an organization, it is important to share the knowledge within and between organizations. External links supply teams and organizations with important knowledge that allows them to keep their operations up-to-date and their structures well-functioning. In fact, knowledge provides teams and organizations with an intangible resource that improves their capacity to interact with their environment and to adjust to it. For this reason, it is important to examine both the internal and external knowledge-sharing taking place in a team. The findings of the study show that in terms of quality, fairness, performance and the knowledge management issues concerning a team, its social network structure is both internally and externally connected with its activities. A team structure that is internally coherent and at the same time open to external contacts, is, with certain restrictions, connected with the quality, fairness, and performance of the team. The restrictions concern differences between procedural and interactional justice, public and private sectors, and the team leaders and ordinary team members. The role of the team leader is closely connected with the management of networks that are considered valuable. The results of the study indicate that teamwork is supervisor-dominated. Thus, teamwork does not substantially strengthen the influence of individual employees as players in knowledge-transfer networks. However, ordinary team members possess important peer contacts inside the organization. Teamwork clearly allows employees to interact in a democratic manner, and here the transfer of tacit knowledge plays an important role. Keywords: teamwork, knowledge-sharing, social networks, organization

Circadian Rhythm Disruptions and Health

The doctoral thesis defined connections between circadian rhythm disruptions and health problems. Sleep debt, jet-lag, shift work, as well as transitions into and out of the daylight saving time may lead to circadian rhythm disruptions. Disturbed circadian rhythm causes sleep deprivation and decrease of mood and these effects may lead to higher accident rates and trigger mental illnesses. Circadian clock genes are involved in the regulation of the cell cycle and metabolism and thus unstable circadian rhythmicity may also lead to cancer development. In publications I-III it was explored how transitions into and out of the daylight saving time impact the sleep efficiency and the rest-activity cycles of healthy individuals. Also it was explored whether the effect of transition is different in fall as compared to spring, and whether there are subgroup specific differences in the adjustment to transitions into and out of daylight saving time. The healthy participants of studies I-III used actigraphs before and after the transitions and filled in the morningness-eveningness and seasonal pattern assessment questionnaires. In publication IV the incidence of hospital-treated accidents and manic episodes was explored two weeks before and two weeks after the transitions into and out of the daylight saving time in years 1987-2003. In publication V the relationship between circadian rhythm disruption and the prevalence of Non-Hodgkin lymphoma was studied. The study V consisted of all working aged Finns who participated in the national population census in 1970. For our study, all the cancers diagnosed during the years 1971-1995 were extracted from the Finnish Cancer Register and linked with the 1970 census files. In studies I-III it was noticed that transitions into and out of the daylight saving time disturbs the sleep-wake cycle and the sleep efficiency of the healthy participants. We also noticed that short sleepers were more sensitive than long sleepers for sudden changes in the circadian rhythm. Our results also indicated that adaptation to changes in the circadian rhythm is potentially sex, age and chronotype-specific. In study IV no significant increase in the occurrence of hospital treated accidents or manic episodes was noticed. However, interesting observations about the seasonal fluctuation of the occurrence rates of accidents and manic episodes were made. Study V revealed that there might be close relationship between circadian rhythm disruption and cancer. The prevalence of Non-Hodgkin lymphoma was the highest among night workers. The five publications included in this thesis together point out that disturbed circadian rhythms may have adverse effect on health. Disturbed circadian rhythms decrease the quality of sleep and weaken the sleep-wake cycle. A continuous circadian rhythm disruption may also predispose individuals to cancer development. Since circadian rhythm disruptions are common in modern society they might have a remarkable impact on the public health. Thus it is important to continue circadian rhythm research so that better prevention and treatment methods can be developed. Keywords: Circadian rhythm, daylight saving time, manic episodes, accidents, Non-Hodgkin lymphoma 11

Work-related well-being of Finnish anesthesiologists

Anesthesiologists, according to some studies, are highly stressed, die at a significantly earlier age than their colleagues and the general population,and are among the leaders in physicians' suicide records. Data are,however, sparse and contradictory. The aim of this study was to discover details of the work-related well-being of Finnish anesthesiologists. In 2004, a cross-sectional postal survey including all 550 working Finnish anesthesiologists produced a total of 328 responses (60%); 53% were men. The anesthesiologists had the greatest on-call workload among Finnish physicians. Their average in-hospital on-call period lasted 24 hours (range 14 to 38). Over two-thirds felt stressed. The most important causes of stress were work and combining work with family. Their main worries at work were: excessive workload and time constraints, especially being on call, organizational problems, and fear of harming patients. On-call workload correlated with burnout. Being frequently on call was correlated with severe stress symptoms--symptoms associated with sick leaves. Women were more affected by stress than men. High job control and organizational justice seemed to mitigate hospital-on-call stress symptoms. The respondents enjoyed fairly high job and life satisfaction. Job control and organizational justice were the most important correlates of these wellness indicators. Work-related factors were more important in males, whereas family life played a larger role in the well-being of female anesthesiologists. Women had less job control, fewer permanent job contracts, and a higher domestic workload. Of the respondents, 31% were willing to consider changing to another physician's specialty and 43% to a profession other than medicine. The most important correlates for these job turnover attitudes were conflicts at the workplace, low job control, organizational injustice, stress, and job dissatisfaction. One in four had at some time considered suicide. Respondents with poor health, low social support, and family problems were at the highest risk for suicidality. The highest risks at work were conflicts with co-workers and superiors, on-call-related stress symptoms, and low organizational justice. If a respondent had several risk factors, the risk for suicidality doubled with each additional factor. On-call work-burden, job control, fairness of decision-making procedures,and workplace relationships should be the focus in attempts to increase the work-related well-being of anesthesiologists.

Hormone therapy in elderly women; a comparative study with alendronate of the effects on bone, cardiovascular risk factors, periodontal conditions and quality of life

Thirty percent of 70-year-old women have osteoporosis; after age of 80 its prevalence is up to 70%. Postmenopausal women with osteoporosis seem to be at an increased risk for cardiovascular events, and deterioration of oral health, as shown by attachment loss of teeth, which is proportional to the severity of osteoporosis. Osteoporosis can be treated with many different medication, e.g. estrogen and alendronate. We randomized 90 elderly osteoporotic women (65-80 years of age) to receive hormone therapy (HT)(2mg E2+NETA), 10mg alendronate, and their combination for two years and compared their effects on bone mineral density (BMD) and turnover, two surrogate markers of the risk of cardiovascular diseases, C-reactive protein (CRP) and E-selectin, as well as oral health. The effect of HT on health-related quality of life (HRQoL) was studied in the population-based cohort of 1663 postmenopausal women (mean age 68 yr) (585 estrogen users and 1078 non-users). BMD was measured with dual-energy X-ray absorptiometry (DXA) at 0, 12 and 24 months. Urinary N-telopeptide (NTX) of type I collagen, a marker of bone resorption, and serum aminoterminal propeptide of human type I procollagen (PINP), a marker of bone formation, were measured every six months of treatment. Serum CRP and E-selectin, were measured at 0, 6, and 12 months. Dental, and periodontal conditions, and gingival crevicular fluid (GCF) matrix metalloproteinase (MMP)-8 levels were studied to evaluate the oral health status and for the mouth symptoms a structured questionnaire was used. The HRQoL was measured with 15D questionnaire. Lumbar spine BMD increased similarly in all treatment groups (6.8-8.4% and 9.1-11.2%). Only HT increased femoral neck BMD at both 12 (4.9%) and 24 months (5.8%), at the latter time point the HT group differed significantly from the other groups. HT reduced bone marker levels of NTX and PINP significantly less than other two groups.Oral HT significantly increased serum CRP level by 76.5% at 6 and by 47.1% (NS) at 12 months, and decreased serum E-selectin level by 24.3% and 30.0%. Alendronate had no effect on these surrogate markers. Alendronate caused a decrease in the resting salivary flow rate and tended to increase GCF MMP-8 levels. Otherwise, there was no effect on the parameters of oral health. HT improved the HRQoL of elderly women significantly on the dimensions of usual activities, vitality and sexual activity, but the overall improvement in HRQoL was neither statistically significant nor clinically important. In conclusion, bisphosphonates might be the first option to start the treatment of postmenopausal osteoporosis in the old age.

Reduced visual function and its association with physical functioning in the Finnish adult population : Prevalence, causes, and need for eye care services

The purpose of this study was to estimate the prevalence and distribution of reduced visual acuity, major chronic eye diseases, and subsequent need for eye care services in the Finnish adult population comprising persons aged 30 years and older. In addition, we analyzed the effect of decreased vision on functioning and need for assistance using the World Health Organization’s (WHO) International Classification of Functioning, Disability, and Health (ICF) as a framework. The study was based on the Health 2000 health examination survey, a nationally representative population-based comprehensive survey of health and functional capacity carried out in 2000 to 2001 in Finland. The study sample representing the Finnish population aged 30 years and older was drawn by a two-stage stratified cluster sampling. The Health 2000 survey included a home interview and a comprehensive health examination conducted at a nearby screening center. If the invited participants did not attend, an abridged examination was conducted at home or in an institution. Based on our finding in participants, the great majority (96%) of Finnish adults had at least moderate visual acuity (VA ≥ 0.5) with current refraction correction, if any. However, in the age group 75–84 years the prevalence decreased to 81%, and after 85 years to 46%. In the population aged 30 years and older, the prevalence of habitual visual impairment (VA ≤ 0.25) was 1.6%, and 0.5% were blind (VA < 0.1). The prevalence of visual impairment increased significantly with age (p < 0.001), and after the age of 65 years the increase was sharp. Visual impairment was equally common for both sexes (OR 1.20, 95% CI 0.82 – 1.74). Based on self-reported and/or register-based data, the estimated total prevalences of cataract, glaucoma, age-related maculopathy (ARM), and diabetic retinopathy (DR) in the study population were 10%, 5%, 4%, and 1%, respectively. The prevalence of all of these chronic eye diseases increased with age (p < 0.001). Cataract and glaucoma were more common in women than in men (OR 1.55, 95% CI 1.26 – 1.91 and OR 1.57, 95% CI 1.24 – 1.98, respectively). The most prevalent eye diseases in people with visual impairment (VA ≤ 0.25) were ARM (37%), unoperated cataract (27%), glaucoma (22%), and DR (7%). One-half (58%) of visually impaired people had had a vision examination during the past five years, and 79% had received some vision rehabilitation services, mainly in the form of spectacles (70%). Only one-third (31%) had received formal low vision rehabilitation (i.e., fitting of low vision aids, receiving patient education, training for orientation and mobility, training for activities of daily living (ADL), or consultation with a social worker). People with low vision (VA 0.1 – 0.25) were less likely to have received formal low vision rehabilitation, magnifying glasses, or other low vision aids than blind people (VA < 0.1). Furthermore, low cognitive capacity and living in an institution were associated with limited use of vision rehabilitation services. Of the visually impaired living in the community, 71% reported a need for assistance and 24% had an unmet need for assistance in everyday activities. Prevalence of ADL, instrumental activities of daily living (IADL), and mobility increased with decreasing VA (p < 0.001). Visually impaired persons (VA ≤ 0.25) were four times more likely to have ADL disabilities than those with good VA (VA ≥ 0.8) after adjustment for sociodemographic and behavioral factors and chronic conditions (OR 4.36, 95% CI 2.44 – 7.78). Limitations in IADL and measured mobility were five times as likely (OR 4.82, 95% CI 2.38 – 9.76 and OR 5.37, 95% CI 2.44 – 7.78, respectively) and self-reported mobility limitations were three times as likely (OR 3.07, 95% CI 1.67 – 9.63) as in persons with good VA. The high prevalence of age-related eye diseases and subsequent visual impairment in the fastest growing segment of the population will result in a substantial increase in the demand for eye care services in the future. Many of the visually impaired, especially older persons with decreased cognitive capacity or living in an institution, have not had a recent vision examination and lack adequate low vision rehabilitation. This highlights the need for regular evaluation of visual function in the elderly and an active dissemination of information about rehabilitation services. Decreased VA is strongly associated with functional limitations, and even a slight decrease in VA was found to be associated with limited functioning. Thus, continuous efforts are needed to identify and treat eye diseases to maintain patients’ quality of life and to alleviate the social and economic burden of serious eye diseases.

Bone Health in Children and Adolescents with Juvenile Idiopathic Arthritis and Solid Organ Transplant

Osteoporosis is a skeletal disorder characterized by compromised bone strength that predisposes to increased fracture risk. Childhood and adolescence are critical periods for bone mass gain. Peak bone mass is mostly acquired by the age of 18 years and is an important determinant of adult bone health and lifetime risk for fractures. Medications, especially glucocorticoids (GCs), chronic inflammation, decreased physical activity, hormonal deficiencies, delayed puberty, and poor nutrition may predispose children and adolescents with a chronic disease to impaired bone health. In this work, we studied overall bone health, the incidence and prevalence of fractures in children and adolescents who were treated for juvenile idiopathic arthritis (JIA) or had undergone solid organ transplantation. The first study cohort included 62 patients diagnosed with JIA and treated with GCs. The epidemiology of fractures after transplantation was investigated in 196 patients and a more detailed analysis of bone health determinants was performed on 40 liver (LTx) and 106 renal (RTx) transplantation patients. Bone mineral density (BMD) and vertebral morphology were assessed by dual-energy x-ray absorptiometry. Standard radiographs were obtained to detect vertebral fractures and to determine bone age; BMD values were adjusted for skeletal maturity. Our study showed that median BMD values were subnormal in all patient cohorts. The values were highest in patients with JIA and lowest in patients with LTx. Age at transplantation influenced BMD values in LTx but not RTx patients; BMD values were higher in patients who had LTx before the age of two years. BMD was lowest during the immediate posttransplantation years and increased subnormally during puberty. Delayed skeletal maturation was common in all patient groups. The prevalence of vertebral fractures ranged from 10% to 19% in the cohorts. Most of the fractures were asymptomatic and diagnosed only at screening. Vertebral fractures were most common in LTx patients. Vitamin D deficiency was common in all patient groups, and only 3% of patients with JIA and 25% of transplantation patients were considered to have adequate serum vitamin D levels. The total cumulative weight-adjusted dose of GC was not associated with BMD values in JIA or LTx patients. The combination of female gender and age over 15 years, parathyroid hormone concentration over 100 ng/L, and cumulative weight-adjusted methylprednisolone dose over 150 mg/kg during the three preceding years were found to be important predictors for low lumbar spine BMD in RTx patients. Based on the high prevalence of osteoporosis in the study cohorts more efforts should be put to prevention and early diagnosis of osteoporosis in these pediatric patients.

Clinical Phenotype and Genetic Epidemiology of Schizophrenia in a Finnish Isolate

This study is part of the joint project "The Genetic Epidemiology and Molecular Genetics of schizophrenia in Finland" between the Departments of Mental Health and Alcohol Research, and Molecular Medicine at the National Public Health Institute. In the study, we utilized three nationwide health care registers: 1) the Hospital Discharge Register, 2) the Free Medication Register, and 3) the Disability Pension Register, plus the National Population Register, in order to identify all patients with schizophrenia born from 1940 to 1976 (N=33,731) in Finland, and their first degree-relatives. 658 patients with at least one parent born in a homogeneous isolate in northeastern Finland were identified, as well as 4904 familial schizophrenia patients with at least two affected siblings from the whole country. The comparison group was derived from the Health 2000 Study. We collected case records and reassessed the register diagnosis. Were contacted the isolate patients and a random sample of patients from the whole country to make diagnostic clinical interviews and to assess the negative and positive symptoms and signs of schizophrenia. In addition to these patients, we interviewed siblings who were initially healthy according to the Hospital Discharge Register. Of those with a register diagnosis of schizophrenia, schizoaffective or schizophreniform disorder, 69% received a record-based consensus diagnosis and 63% an interview-based diagnosis of schizophrenia. Patients with schizophrenia having first-degree relatives with psychotic disorder had more severe affective flattening and alogia than those who were the only affected individuals in their family. The novel findings were: 1) The prevalence of schizophrenia in the isolate was relatively high based on register (1.5%), case record (0.9-1.3%), and interview (0.7-1.2%) data. 2) Isolate patients, regardless of their familial loading for schizophrenia, had less delusions and hallucinations than the whole country familial patients, which may be related to the genetic homogeneity in the isolate. This phenotype encourages the use of endophenotypes in genetic analyses instead of diagnoses alone. 3) The absence of register diagnosis does not confirm that siblings are healthy, because 7.7% of siblings had psychotic symptoms already before the register diagnoses were identified in 1991. For genetic research, the register diagnosis should therefore be reassessed using either a structured interview or a best- estimate case note consensus diagnosis. Structured clinical interview methods need be considered also in clinical practice.

Health-Related Quality of Life and Mental Disorders in Finland

Quality of life (QoL) and Health-related quality of life (HRQoL) are becoming one of the key outcomes of health care due to increased respect for the subjective valuations and well-being of patients and an increasing part of the ageing population living with chronic, non-fatal conditions. Preference-based HRQoL measures enable estimation of health utility, which can be useful for rational rationing, evidence-based medicine and health policy. This study aimed to compare the individual severity and public health burden of major chronic conditions in Finland, including and focusing on reliably diagnosed psychiatric conditions. The study is based on the Health 2000 survey, a representative general population survey of 8028 Finns aged 30 and over. Depressive, anxiety and alcohol use disorders were diagnosed with the Composite International Diagnostic Interview (M-CIDI). HRQoL was measured with the 15D and the EQ-5D, with 83% response rate. This study found that people with psychiatric disorders had the lowest 15D HRQoL scores at all ages, in comparison to other main groups of chronic conditions. Considering 29 individual conditions, three of the four most severe (on 15D) were psychiatric disorders; the most severe was Parkinson s disease. Of the psychiatric disorders, chronic conditions that have sometimes been considered relatively mild - dysthymia, agoraphobia, generalized anxiety disorder and social phobia - were found to be the most severe. This was explained both by the severity of the impact of these disorders on mental health domains of HRQoL, and also by the fact that decreases were widespread on most dimensions of HRQoL. Considering the public health burden of conditions, musculoskeletal disorders were associated with the largest burden, followed by psychiatric disorders. Psychiatric disorders were associated with the largest burden at younger ages. Of individual conditions, the largest burden found was for depressive disorders, followed by urinary incontinence and arthrosis of the hip and knee. The public health burden increased greatly with age, so the ageing of the Finnish population will mean that the disease burden caused by chronic conditions will increase by a quarter up to year 2040, if morbidity patterns do not change. Investigating alcohol consumption and HRQoL revealed that although abstainers had poorer HRQoL than moderate drinkers, this was mainly due to many abstainers being former drinkers and having the poorest HRQoL. Moderate drinkers did not have significantly better HRQoL than abstainers who were not former drinkers. Psychiatric disorders are associated with a large part of the non-fatal disease burden in Finland. In particular anxiety disorders appear to be more severe and have a larger public health burden than previously thought.

Viestintää valtuustossa : Valtuutettujen viestintätyyli ja käsitys Helsingin kaupunginvaltuuston kokouksien viestinnästä

The goal of the study was to determine the kind of communication used in the meetings of the City Council. Councillors' addresses were studied by observing their communication styles. A questionnaire was used to study councillors' perception of communication in council meetings as perceived communication climate. A second goal of the study was to develop a method for analysing communication style. The nature of the study was a longitudinal case study. Studies of speech communication at the individual level and those of organisational communication at the community level served as the theoretical frame of reference. Due to the chosen object of study, political research and communication context shaped the frame of reference for the study. Verbal, nonverbal and paraverbal characteristics form the communication style. The perceived communication climate is dynamic in nature and consists of characteristics. The research material was gathered from the meetings of the Helsinki City Council held from 1993 to 1996. The communication style was analysed from meeting addresses (N=1271) given by the permanent members (N=95) of the council. The perceived communication climate was studied using a questionnaire modified from Wiio's OCD2 questionnaire. The questionnaire survey was carried out twice. The first time, 58 questionnaires (68%) were returned and, the second time, 49 questionnaires (58%) were returned. The method of analysis used for communication style was classification and cross tabulation. Based on the subset of material for the first year, five communication style categories were defined Communication style was examined using gender, length of council membership, and political party as subgroups. The results related to the perceived communication climate were analysed as averages and percentages. A comparison of the results from two different measuring times revealed how the perceived communication climate changed during a council term. The finding of the study was that the municipal politicians could be placed in all five communication style categories in each year of their four-year council term. The sizes of the style categories varied only little in the different years. A relatively stable - rather than changing - communication style was more characteristic of individuals during a council term. Gender did not explain an individual's communication style. On the other hand, the length of service in the council and, to some extent, the political party were connected with a certain communication style. Changes in style mainly manifested themselves as variation in communication activity so that activity was highest at the beginning and at the end of the council term. The method of researching communication style developed for this study proved to be functional, though labour-consuming. The perceived communication climate in the Helsinki City Council was good. Women's and men's satisfaction with the communication in the council differed; women's perception became considerably more positive at the end of the council term. Satisfaction with the communication in the council was characteristic of the Coalition Party and the Social Democrat councillors and dissatisfaction was characteristics of the Green councillors. Long council experience increased satisfaction with communication in the council. Only in the case of a few style categories was it possible to show any connection between the communication style and the perceived communication climate. The study confirmed the perception that an individual's communication style in the same communication context was relatively stable in the long term as well.

Näkökulmia eurooppalaiseen sosiaalipolitiikkaan : malli, väestö, resurssit ja kommunikaatio

The study analyses European social policy as a political project that proceeds under the guidance of the European Commission. In the name of modernisation, the project aims to build a new idea for the welfare state. To understand the project, it is necessary to distance oneself from both the juridical competence of the European Union and the traditional national welfare state models. The question is about sharing problems, as well as solutions to them: it is the creation and sharing of common views, concepts and images that play a key role in European integration. Drawing on texts and speeches produced by the European Commission, the study throws light on the development of European social policy during the first years of the 2000s. The study "freeze-frames" the welfare debate having its starting points in the nation states in the name of the entity of Europe. The first article approaches the European social model as a story in itself, a preparatory, persuasive narrative that concerns the management of change. The article shows how the audience can be motivated to work towards a set target by using discursive elements in a persuasive manner: the function of a persuasive story is to convince the target audience of the appropriateness of the chosen direction and to shape their identity so that they are favourably disposed to the desired political targets. This is a kind of "intermediate state" where the story, despite its inner contradictions and inaccuracies, succeeds in appearing as an almost self-evident path towards a modern social policy that Europe is currently seen to be in need of. The second article outlines the European social model as a question of governance. Health as a sector of social policy is detached from the old political order, which was based on the welfare state, and is closely linked to economy. At the same time the population is primarily seen as an economic resource. The Commission is working towards a "Europe of Health" that grapples with the problem of governance with the help of the "healthisation" of society, healthy citizenship and health economics. The way the Commission speaks is guided by the Union's powerful interest to act as "Europe" in the field of welfare policy. At the same time, the traditional separateness of health policy is effaced in order to be able to make health policy reforms a part of the Union's wider modernisation targets. The third article then shows the European social policy as its own area of governance. The article uses an approach based on critical discourse analysis in examining the classification systems and presentation styles adopted by Commission communications, as well as the identities that they help build. In analysing the "new start" of the Lisbon strategy from the perspective of social policy, the article shows how the emphasis has shifted from the persuasive arguments for change with necessary common European targets in the early stages of the strategy towards the implementation of reforms: from a narrative to a vision and from a diagnosis to healing. The phase of global competition represents "the modern" with which European society with its culture and ways of life now has to be matched. The Lisbon strategy is a way to direct this societal change, thus building a modern European social policy. The fourth article describes how the Commission uses its communications policy to build practices and techniques of governance and how it persuades citizens to participate in the creation of a European project of change. This also requires a new kind of agency: agents for whom accountability and responsibilities mean integration into and commitment to European society. Accountability is shaped into a decisive factor in implementing the European Union's strategy of change. As such it will displace hierarchical confrontations and emphasise common action with a view to modernising Europe. However, the Union's discourse cannot be described as being a political language that would genuinely rouse and convince the audience at the level of everyday life. Keywords: European social policy, EU policy, European social model, European Commission, modernisation of welfare, welfare state, communications, discoursiveness.

Esiselvitys Luoteis-Venäjän ja Kaakkois-Suomen aluetaloudellisesta, kulttuurisesta ja sosiaalisesta integraatiokehityksestä

Esiselvityksen tarkoituksena on esittää arvio Luoteis-Venäjän ja Kaakkois-Suomen integraation tämänhetkisestä tilanteesta sekä keskeisimmistä edellytyksistä ja esteistä. Raportin ensimmäisessä osassa käsitellään kohdealueiden taustaa, toisessa osassa integroitumisen edellytyksiä ja esteitä sekä kolmannessa osassa Kaakkois-Suomen mahdollisuuksia ja vetovoimatekijöitä. Luoteis-Venäjällä on ollut suuri merkitys Kaakkois-Suomen kehityksessä ja se nähdään edelleen suurimpana mahdollisuutena minkä suhteen alueella voidaan kehittyä. Suurimmiksi ongelmiksi haastattelujen perusteella nousivat bisnekseen itseensä perustuvat ongelmat sekä resurssien puute. Lisäksi kykenemättömyys sopeutua paikalliseen kulttuuriin, kielitaidon ja kulttuurintuntemuksen puute, asenneongelmat sekä Venäjällä kasvava protektionismi ja maan oikeusvaltiostatuksen puute nähtiin suurena esteenä. Sopimukset sekä Venäjällä toimiminen niin liiketoiminnassa kuin koulutus- ja tutkimussektorilla ovat saaneet mystisiä piirteitä. Integraation edellytyksinä esiin nousivat halu kansainvälistyä sekä valmius panostaa ajallisesti ja rahallisesti. Muut edellytykset riippuvat valitusta toimintamallista. Toimintaympäristöön integroitumisen edellytyksenä pidettiin toimivia suhteita paikallishallintoon ja henkilökunnan venäläistämistä. Suomalaisten menestymisen edellytyksiä pidettiin hyvänä. Koulutus- ja tutkimussektorilla esiin nousivat perusrahoituksen puuttuminen, Suomi-keskeisyys sekä asenneongelmat. Venäläinen partneri on kuitenkin olennainen ja yhteistoiminnan edellytyksenä pidettiin verkostojen luomista. Koulutusviennin osalta esiin nousivat johtamis- ja projektihallinnon tarjonta. Ongelmana nähtiin yliopistojen välinen kilpailu ja toiveena oli parempi yhteistoiminta korkeakoulujen kesken. Julkisen sektorin puolella suurimmaksi ongelmaksi nousivat toimijoiden suuri määrä sekä niiden välinen kilpailu Kaakkois-Suomessa ja Luoteis-Venäjällä. Myös Kouvolan ja Kotkan sekä rautatien ja E18-tien välinen kilpailu haittaavat alueen kehitystä. Lisäksi alueelta puuttuu poliittinen omistajuus asialle sekä vahva keulakuva. Integraation tulisi toteutua julkisen sektorin ja yritysten yhteistyönä. Valtiolta toivottiin viisumikysymyksen pikaista ratkaisua, eikä viisumin poistumisen mahdollisia negatiivisia vaikutuksia pidetty suurena ongelmana. Kymenlaakson rakennemuutos nähtiin mieluummin mahdollisuutena kuin haittana. Sen sijaan yliopiston puute luo leiman alueelle, ja LUT:n vaikutusta toivottiin koko Kaakkois-Suomeen. Alueen infran todettiin olevan toimiva ja kehittämiseen kaivattiin aloitteellisuutta sekä nopeita toimia. Logistiikkaan pidettiin Kaakkois-Suomen vahvuutena, mutta liiallisen keskittymisen rautateihin tai satamiin nähtiin hidastavan kehitystä. Toimijoiden toivottiin yhdistyvän ja muodostavan ketjuja sekä keskittyvän alueen omiin vahvuuksiin, joista toivottiin selvitystä. Alueen kehittämisen kannalta esiin nousi vaatimuksia korkeamasta palvelutasosta sekä kielen ja kulttuurin tuntemuksen lisäämisestä. Erityisesti matkailun alalle sekä kulttuurivaihtoon kaivattiin kehitystä, isoja hankkeita ja rajaseudun sekä omaa brändiä. Lisäksi Lappeenrannan lentokenttää ja nopeaa junayhteyttä tulisi hyödyntää enemmän, sekä panostaa matkailijoiden opastukseen. Alueen vetovoimatekijöinä nähtiin erilaiset terveys-, hoito- ja kuntoutuspalvelut, sekä huoltotoiminnot. Paperiteollisuuden puolella tulisi yhdistää ekologia, ekonomia ja teknologia sekä saada uusia innovaatioita. Lisäksi Kaakkois-Suomessa tulisi keskittyä logistiikkaan, digitaaliseen viestintään, uusiutuviin energioihin sekä tietointensiiviseen työhön. Alueen venäläisistä yrityksistä ja mahdollisista investointikohteista kaivattiin lisäselvityksiä. Integroituminen yhteiskuntaan vaatii poikkihallinnollisia toimita ja kielikoulutuksen aikaista aloittamista. Maakuntaliiton panostusta toivottiin erityisesti suhteiden luomiseen Suomessa ja Venäjällä, alueen logistiikan painopistealueiden määrittelemiseen sekä kulttuurisen integraation huomioimiseen strategioissaan.

"Elämää yhdellä siivellä lentäen" : Suomessa asuvien Chilen pakolaisten ja heidän jälkeläistensä historiatietoisuus

The starting point of this study was to find out how the historical consciousness manifest in conceptions and experiences of Chilean refugees and their descendants. The previous research of historical consciousness has shown that powerful experiences such as the revolution and being a refugee may have an effect on historical consciousness. The purpose of this study is to solve how those experiences in the past have influenced Chilean refugees and their descendant s interpretations of the present and expectations for the future. The research material was collected by interviewing four Chilean refugees that escaped to Finland in years 1973 1976 and four young adults who represent the second generation. All second generation interviewees were born in Finland and their other parent or both parents were Chilean refugees. The two groups were not in a family relation to each other. The empirical part of the research was made by qualitative methods. The research material was collected by the method of focused interview and it was analysed by the qualitative data analysis software Atlas.ti 6.0. Content analysis was the main research tool. The previous theory of historical consciousness and the study questions was used to create the seven categories that manifest historical consciousness. The seven categories were biographical memory, collective memory, experiences of living between two cultures, idea of man, the essence of history and the reason for living, value conceptions and expectations of the future. Content analysis was based on those categories. Subcategories were based on the research material and were created during the analysis. The results of this study were made up of categories. The study revealed that experiences of revolution and of being a refugee has a significant role in the historical consciousness of the Chilean refugees. It became evident in their biographical memory being separated in three parts, in their values and in the belief of possibility of an individual to govern her own life. The second generation was also exposed to their parent s experiences in the past. The collective trauma in their parent s past has been part of their life indirectly and has affected the way they think of themselves, their concepts and their place in the present world. The active and regular retrospection in Finland by Chilean adults and special Gabriela Mistral club activities has played a big part in the construction of their historical consciousness.

Oikeudenmukaisesti toimiva organisaatio työmotivaation lähteenä? Koetun oikeudenmukaisuuden kolme ulottuvuutta ja niiden yhteys eri motivaatiotyyppeihin. Case: Nordea Pankki Suomi Oyj

Tämän tutkimuksen tarkoituksena oli selvittää, miten koetun oikeudenmukaisuuden eri ulottuvuudet ovat yhteydessä työntekijöiden sisäiseen ja ulkoiseen motivaatioon. Näiden lisäksi tutkittiin, onko jokin koetun oikeudenmukaisuuden ulottuvuuksista negatiivisessa yhteydessä motivaation puutteeseen (amotivaatioon). Tutkimuksen tavoitteena oli myös tuottaa käytäntöön sovellettavaa empiriaan perustuvaa tietoa koetun oikeudenmukaisuuden merkityksestä organisaatiokontekstissa työmotivaation näkökulmasta katsottuna. Oikeudenmukaisuutta lähestytään useamman teorian näkökulmasta, mikä näkyy myös käytetyn mittarin valinnassa. Motivaatiota käsitellään lähinnä itsemääräytymisteorian näkökulmasta. Samaan teoriaan pohjautuu tutkimuksessa käytetty motivaatiomittari. Tutkimus toteutettiin toimeksiantona. Aineisto kerättiin maaliskuussa 2010 kertakyselynä Nordea Pankki Suomi Oyj:n työntekijöiltä sähköisen kyselylomakkeen avulla. Ennen varsinaista kyselyä tehtiin lomakkeen esitestaus. Otos koostuu 1090 havainnosta. Aineisto kerättiin aluksi Webropoliin, josta se myöhemmin siirrettiin PASW 18.0 tilasto-ohjelmaan, jossa varsinainen aineiston analysointi tapahtui. Aineiston tutkiminen aloitettiin sitä kuvailevien tunnuslukujen avulla. Varsinaisina tutkimusmenetelminä käytettiin faktorianalyysiä sekä lineaarista ja logistista regressioanalyysia. Apuna käytettiin myös korrelaatiomatriisia. Tulokset osoittavat, että koettu oikeudenmukaisuus on positiivisessa yhteydessä työntekijöiden sisäiseen ja ulkoiseen motivaatioon sekä negatiivisessa yhteydessä amotivaatioon. Regressioanalyysin perusteella sisäistä motivaatiota selitti parhaiten menettelytapojen oikeudenmukaisuus. Myös vuorovaikutuksen oikeudenmukaisuus selitti sitä, mutta ei yhtä vahvasti. Ulkoista motivaatiota selitti parhaiten jakava oikeudenmukaisuus. Logistisen regressioanalyysin perusteella amotivaatiota ennusti parhaiten menettelytapojen oikeudenmukaisuuden puute. Myös koettu vuorovaikutuksen oikeudenmukaisuuden puute ennusti amotivaatiota, mutta ei yhtä vahvasti.

Liikunnan muutokset ja painon kehitys nuorilla

Tutkimuksissa selvitettiin liikuntatapojen ja niiden muutosten vaikutusta painon kehittymiseen ja kehon koostumukseen nuorilla. Liikunnan ja lihavuuden väliseen kausaalisuussuhteeseen kiinnitettiin huomiota. Tutkimuksen aineistona käytettiin Kaksosten Kehitys ja Terveys tutkimuksen kaksoskohorttiaineistoa. Läpi nuoruutensa aktiivisesti liikkuneita, liikunnan lopettaneita ja täysin liikuntaa harrastamattomia nuoria vertailtiin painoindeksin suhteen 12-, 14-, 17,5- ja 22-vuotiaana ja vyötärönympäryksen suhteen 22-vuotiaana. Nuoruuden liikuntatottumukset eivät ennustaneet merkitsevästi painoindeksiä 22-vuotiaana. Sen sijaan liikunnan lopettaneilla ja täysin liikuntaa harrastamattomilla nuorilla vyötärönympärys 22-vuotiaana oli suurempi, kuin aktiiviliikkujilla, eli liikuntatottumukset vaikuttivat kehon koostumukseen. Pojilla muutos painossa tapahtui ennen muutosta liikunnassa – lihominen näytti johtavan liikkumattomuuteen.