Jätehuoltosuunnitelma Pohjois-Karjalan keskussairaalan laajennus K:ssa

Tämän työn tarkoituksena oli suunnitella toimiva jätehuoltoPohjois-Karjalan keskussairaalan alueelle vuosina 2007-2008 rakennettavaan laajennus K:hon. Tavoitteena oli löytää kustannustehokas ja hyvin vanhan rakennuskannan logistiikan kanssa yhteen toimiva jätehuollon vaihtoehto. Suunnittelua ohjasivat lakien, asetusten ja muiden määräyksien ohella laajennuksen pitkälle edennyt suunnitteluvaihe ja vanhan rakennuskannan jätehuollon toimintatavat. Jätehuolto on yksi merkittävä osa sairaalan perustehtävää palvelevista tukitoiminnoista. Jätehuoltojärjestelmä on sairaanhoitotyötä palveleva, jos järjestelyt ovat loogisia, toimivia ja logistiset yhteydet ovat mahdollisimman lyhyitä. Nykyinen ihmistyövoiman käyttöön perustuva jätehuollon prosessi on esitetty varsin tarkasti, sillä laajennuksen jätehuoltosuunnitelman on käytännön syistä pohjauduttava nykyiseen toimintatapaan. Työssä esitetään uusia jätehuollon vaihtoehtoja kustannusarvioineen, mutta ehdotukset jäävät lähinnä visiotasolle laajennuksen pitkälle ehtineen suunnitteluvaiheen vuoksi. Konkreettiset vaihtoehdot koskevat jätejakeiden keräystä ja niiden kuljetuksia. Keskus sairaalan jätehuollon tehostaminen vaatii kokonaisvaltaisen jätehuoltosuunnitelman laatimista koko sairaalan alueelle. Sen myötä on mahdollista lisätä kustannustehokkuutta ottamalla käyttöön teknisiä ratkaisuja. Jätehuoltosuunnitelma laajennukseen on työssä tehty, mutta työn suurimmaksi saavutukseksi jää kuitenkin esitys myöhempien hakkeiden jätehuollon suunnittelun aikaistamisesta jo hankesuunnitteluvaiheeseen.

Tieliikelaitoksen t&k -projektien kannattavuuden arviointi

Työn tavoitteena oli laatia Tieliikelaitoksen tutkimus- ja kehitysprojektien kannattavuuden arvioinnin toimintamalli ja laskentamalli. Työn tavoitteena oli myös kehittääTieliikelaitoksen tutkimus- ja kehitysprojektin kannattavuuden arviointia ja tuottaa informaatiota t&k -projektien valintatilanteisiin. Työ koostuu teoriasta, haastatteluista, t&k -projektien kannattavuuden arvioinnin toimintamallista ja laskentamallista. Työssä käsitellään kirjallisuudesta ja haastatteluista esille tulleita käytäntöjä ja menetelmiä, joiden avulla tutkimus- ja kehitysprojektien kannattavuutta voidaan arvioida. Työssä kuvataan myös arviointimenetelmien käyttöä t&k -prosessin eri vaiheissa. Työn merkittävimpinä tuloksina ovat laaditut toimintamalli ja laskentamalli Tieliikelaitoksen t&k -projektien kannattavuuden arviointiin. Lisäksi työssä tuloksena oli, että arviointimenetelmiä tulee käyttää monipuolisesti ja projektien arviointi tulee olla jatkuvaa. Projektien kannattavuuden arviointi ei voi perustua pelkästään taloudellisiin menetelmiin vaan arviointiin tulee valita sekä taloudellisia että laadullisia menetelmiä. Projektien jatkuvalla arvioinnilla ja arviointimenetelmien käytön monipuolisuudella varmistetaan oikeiden ja kannattavien projektien toteuttaminen.

Transcranial Doppler for predicting delayed cerebral ischemia after subarachnoid hemorrhage.

OBJECTIVE: Transcranial Doppler (TCD) is widely used to monitor the temporal course of vasospasm after subarachnoid hemorrhage (SAH), but its ability to predict clinical deterioration or infarction from delayed cerebral ischemia (DCI) remains controversial. We sought to determine the prognostic utility of serial TCD examination after SAH. METHODS: We analyzed 1877 TCD examinations in 441 aneurysmal SAH patients within 14 days of onset. The highest mean blood flow velocity (mBFV) value in any vessel before DCI onset was recorded. DCI was defined as clinical deterioration or computed tomographic evidence of infarction caused by vasospasm, with adjudication by consensus of the study team. Logistic regression was used to calculate adjusted odds ratios for DCI risk after controlling for other risk factors. RESULTS: DCI occurred in 21% of patients (n = 92). Multivariate predictors of DCI included modified Fisher computed tomographic score (P = 0.001), poor clinical grade (P = 0.04), and female sex (P = 0.008). After controlling for these variables, all TCD mBFV thresholds between 120 and 180 cm/s added a modest degree of incremental predictive value for DCI at nearly all time points, with maximal sensitivity by SAH day 8. However, the sensitivity of any mBFV more than 120 cm/s for subsequent DCI was only 63%, with a positive predictive value of 22% among patients with Hunt and Hess grades I to III and 36% in patients with Hunt and Hess grades IV and V. Positive predictive value was only slightly higher if mBFV exceeded 180 cm/s. CONCLUSION: Increased TCD flow velocities imply only a mild incremental risk of DCI after SAH, with maximal sensitivity by day 8. Nearly 40% of patients with DCI never attained an mBFV more than 120 cm/s during the course of monitoring. Given the poor overall sensitivity of TCD, improved methods for identifying patients at high risk for DCI after SAH are needed.

Tavaratalojohtajien osaamisesta kohti koko organisaation kehittämistä - Case K-citymarket Oy

Tämän tutkimuksen tavoitteena oli tarkastella tietojohtamista organisaation inhimillisen pääoman (human capital) näkökulmasta. Erityisesti tässä työssä tarkasteltiin johtajien osaamista, motivaatiota ja motivointia, sitoutumista ja sitouttamista sekä johtajien vuorovaikutustaitoja ja edellä mainittujen aiheiden merkitystä organisaatiolle pääomien kasvattamisen näkökulmasta. Tutkimuksen empiirisessä osassa käytettiin kvantitatiivista ja kvalitatiivista tutkimusotetta. Tutkimusmenetelmänä käytettiin SPSS for Windows (12.0.1.) -tilasto-ohjelmaa sekä puolistrukturoituja teemahaastatteluja. Tutkimus osoitti selkeästi inhimillisen pääoman (osaamisen, motivaation ja sitoutumisen) tärkeyden ja merkityksen organisaatiolle. Tulevaisuuden kilpailukyky rakentuu paljolti juuri inhimillisen pääoman varaan. Kilpailukyvyn kannalta juuri inhimillisen pääoman merkityksen tunnistaminen ja hyödyntäminen on tärkeää. Johtajilla on oma merkityksensä organisaation kehitykselle, kuitenkin organisaation koostuu kaikista siinä vaikuttavista ihmisistä.

T&K-yhteistyöprojektinvalintakriteerit ja - päätösprosessi: Case VR Cargo

Tutkimuksen tavoitteena oli löytää yritysten välisten tutkimus- ja kehityshankkeiden valintaan liittyviä kriittisiä tekijöitä ja luoda T&K-verkostojen analysointiin soveltuva malli, jonka avulla tutkimuksen caseyritys VR Cargo voi tehdä päätöksiä panostuksistaan eri hankkeisiin ja ylipäätänsä siitä, missä kannattaa olla mukana sekä kuinka löytää strategisia kehityskumppaneita. Työn teoriaosuus tehtiin kirjallisuuskatsauksena aiempaan T&K-tutkimukseen ja empiria osuus suoritettiin tekemällä teemahaastatteluja VR Cargossa sekä kahdessa vertailuyrityksessä. Tutkimuksessa havaittiin useita erilaisia kriittisiä tekijöitä T&K-yhteistyöhankkeisiin liittyen. Yrityksen on mm. huomioitava T&K-hankkeen strateginen sopivuus ja lisäarvo, määriteltävä motiivit ja riskit, yrityskohtaisten tekijöiden ovat oltava kunnossa, on tiedettävä millainen on yritykselle hyvä ja sopiva partneri sekä yhteistyötason tekijät on huomioitava. Tutkimuksessa rakennettua hankkeiden valintaan liittyvää päätöspuumallia, ei ole tarkoitettu tekemään lopullista valintapäätöstä, vaan sen tarkoituksena on helpottaa ja tukea valintaprosessia ja alentaa näin todennäköisyyttä unohtaa jokin tärkeä seikka valintaprosessissa.

Acúmulo de N, K, Ca, Mg e S na matéria seca da parte aérea de mudas de cajueiro-anão-precoce submetidas a níveis crescentes de matéria orgânica

Com o objetivo de verificar os efeitos de níveis crescentes de matéria orgânica no acúmulo de macronutrientes de porta-enxertos de cajueiro-anão-precoce em 4 estádios de crescimento, foi conduzido experimento na área experimental do Departamento de Irrigação e Drenagem da Universidade Federal do Ceará, em Fortaleza, Ceará, no período de abril a junho de 1995. Utilizou-se como substrato mistura de solo e húmus de minhoca em proporções variadas. Para o plantio, utilizou-se semente de cajueiro-anão-precoce progênie CCP-76. Os tratamentos resultaram da aplicação de cinco níveis de matéria orgânica (0; 100; 200; 300 e 400 cm³/2,5kg solo) e 4 épocas de avaliação (15; 30; 45 e 60 dias após a germinação). O delineamento experimental foi o inteiramente casualizado, em esquema de parcela subdividida, com quatro repetições e seis plantas por parcela. Amostras do material vegetal foram submetidas à digestão nítricoperclórica, para determinação de K, Ca, Mg e S, respectivamente, e sulfúrica, para determinar o N. A adição de níveis crescentes de matéria orgânica ao substrato apresentou efeito linear positivo, para o N e K, atingindo o máximo para a dose de 400 cm3. Em relação aos efeitos das épocas, verificou-se efeito linear negativo. Quanto ao Ca, Mg e S, por serem considerados de baixa mobilidade no floema, estes apresentaram tendências de concentração com o incremento de massa seca das mudas.

Motion artifact reduction and vessel enhancement for free-breathing navigator-gated coronary MRA using 3D k-space reordering.

Breathing-induced bulk motion of the myocardium during data acquisition may cause severe image artifacts in coronary magnetic resonance angiography (MRA). Current motion compensation strategies include breath-holding or free-breathing MR navigator gating and tracking techniques. Navigator-based techniques have been further refined by the applications of sophisticated 2D k-space reordering techniques. A further improvement in image quality and a reduction of relative scanning duration may be expected from a 3D k-space reordering scheme. Therefore, a 3D k-space reordered acquisition scheme including a 3D navigator gated and corrected segmented k-space gradient echo imaging sequence for coronary MRA was implemented. This new zonal motion-adapted acquisition and reordering technique (ZMART) was developed on the basis of a numerical simulation of the Bloch equations. The technique was implemented on a commercial 1.5T MR system, and first phantom and in vivo experiments were performed. Consistent with the results of the theoretical findings, the results obtained in the phantom studies demonstrate a significant reduction of motion artifacts when compared to conventional (non-k-space reordered) gating techniques. Preliminary in vivo findings also compare favorably with the phantom experiments and theoretical considerations. Magn Reson Med 45:645-652, 2001.

Calculation of Activity Coefficients of Uni-Univalent Electrolytes by Equations Containing No Adjustable Parameters in Aqueous Solutions at 298.15 K

Normally either the Güntelberg or Davies equation is used to predict activity coefficients of electrolytes in dilute solutions when no better equation is available. The validity of these equations and, additionally, of the parameter-free equations used in the Bates-Guggenheim convention and in the Pitzerformalism for activity coefficients were tested with experimentally determined activity coefficients of HCl, HBr, HI, LiCl, NaCl, KCl, RbCl, CsCl, NH4Cl, LiBr,NaBr and KBr in aqueous solutions at 298.15 K. The experimental activity coefficients of these electrolytes can be usually reproduced within experimental errorby means of a two-parameter equation of the Hückel type. The best Hückel equations were also determined for all electrolytes considered. The data used in the calculations of this study cover almost all reliable galvanic cell results available in the literature for the electrolytes considered. The results of the calculations reveal that the parameter-free activity coefficient equations can only beused for very dilute electrolyte solutions in thermodynamic studies.

Potentiometric titration as a method of determining the stoichiometric dissociation constants of weak acids from the thermodynamic dissociation constants of aqueous solutions at 298.15 K

The simple single-ion activity coefficient equation originating from the Debye-Hückel theory was used to determine the thermodynamic and stoichiometric dissociation constants of weak acids from data concerning galvanic cells. Electromotive force data from galvanic cells without liquid junctions, which was obtained from literature, was studied in conjuction with the potentiometric titration data relating to aqueous solutions at 298.15 K. The dissociation constants of weak acids could be determined by the presented techniques and almost all the experimental data studied could be interpreted within the range of experimental error. Potentiometric titration has been used here and the calculation methods were developed to obtain the thermodynamic and stoichiometric dissociation constants of some weak acids in aqueous solutions at 298.15 K. The ionic strength of titrated solutions were adjusted using an inert electrolyte, namely, sodium or potassium chloride. Salt content alonedetermines the ionic strength. The ionic strength of the solutions studied varied from 0.059 mol kg-1 to 0.37 mol kg-1, and in some cases up to 1.0 mol kg-1. The following substances were investigated using potentiometric titration: aceticacid, propionic acid, L-aspartic acid, L-glutamic acid and bis(2,2-dimethyl-3-oxopropanol) amine.

Superfícies de resposta do tangor 'Murcott' à fertilização com N, P e K

O valor de comercialização no mercado de fruta fresca e a maior resistência a doenças, como o declínio e a clorose variegada dos citros, comparado às variedades de laranjas, estimularam a produção de tangerinas e de 'Murcott' na última década. Por outro lado, faltam informações seguras para o diagnóstico das necessidades de adubação para esses cítricos. Assim, o presente trabalho foi planejado com os objetivos de estudar a demanda por nutrientes e estabelecer doses de fertilizantes para maximizar a produtividade e a qualidade dos frutos de tangor 'Murcott' e definir critérios de diagnóstico da análise de folhas para o manejo nutricional dessas plantas. O experimento foi desenvolvido durante seis anos, num pomar comercial da variedade Murcott sobre limoeiro 'Cravo', com 4 anos de idade. Os tratamentos foram arranjados no delineamento fatorial fracionado, do tipo ½ (4³) e constituídos por níveis de N (30; 100; 170 e 240 kg N ha-1), de P (20; 80; 140 e 200 kg ha-1 de P2O5) e de K (30; 110; 190 e 270 kg ha-1 de K2O). O N aumentou a produção média do período, enquanto o efeito do K foi negativo. Não houve efeito significativo para doses de P. A produção máxima de frutos foi obtida com as doses 155; 20 e 30 kg ha-1, respectivamente, de N, P2O5 e K2O, enquanto, para otimizar o tamanho dos frutos, foi necessário elevar a doses de K para 270 kg ha-1 de K2O. Outras características de qualidade dos frutos também foram estudas, bem como critérios para a interpretação de resultados de análises de folhas.

Zn and K influence in fruit sizes of Valencia orange

In orange commercial farms, Zn deficiencies symptoms and small fruits were observed in Corrientes, Argentine. During four years (1995 to 1998), Valencia orange (Citrus sinensis Osb.) on Rough lemon (C. jambhiri Lush.) rootstock, implanted in 1974 in sandy soil, where six treatments were tested. Treatments varied from 1 to 3 Kg KCl.tree-1.year-1 (applied in April and December) with and without Zineb 80, 0,35%. year-1, 20 L. tree-1 (13,3 g Zn.tree-1 applied in December). The experimental design was a randomized complete block with four replications, with a single tree and borders in the experimental plot. Foliar sample were taken every year in Autumn and Summer, foliar concentrations of Zn and K were determined by atomic spectrum absorption. Harvested fruits were classified into small, medium and big. Analysis of Variance, Tukey test and Pearson correlations between production and foliar concentrations were performed. Higher fertilization levels of K with Zn increased medium and big fruits production (Kg and percentage). Foliar concentrations of K and Zn were positively correlated with big and medium fruit production and negatively correlated with small one. Chemical names used: Ethilenbis-ditiocarbamate of Zn (Zineb).

Hormonal regulation of (Na+,K+)-ATPase biosynthesis in the toad bladder. Effect of aldosterone and 3,5,3'-triiodo-L-thyronine.

Aldosterone stimulates transepithelial Na+ transport in the toad bladder, and thyroid hormone antagonizes this mineralocorticoid action. In the present study, we assessed the influence of these two hormones on the biosynthesis of (Na+,K+)ATPase, the major driving force of Na+ transport. Rates of enzyme synthesis were estimated by immunoprecipitation with monospecific alpha (96,000 daltons) and beta (60,000 daltons) subunit antibodies. After a 30-min pulse of intact tissue with [35S]methionine, the anti-alpha-serum recognized the 96,000-dalton alpha subunit and the anti-beta-serum, a 42,000-dalton protein, in total cell extracts. The biosynthesis rates of both these proteins were increased 2.8- and 2.4-fold respectively, over controls by 80 nM aldosterone after 18 h of hormone treatment. The hormonal effect was not apparent up to 3 h of incubation and was dose dependent between 0.2 and 20 nM aldosterone. The hormonal induction was antagonized by spironolactone (500-fold excess) but not by amiloride. The action of aldosterone thus seems to be a receptor-mediated process and a primary event independent of the Na+ permeability of the apical membrane. Thyroid hormone, on the other hand, had no effect on either basal or aldosterone-stimulated synthesis rates of both enzyme proteins. The results demonstrate a direct effect of aldosterone on gene expression of the (Na+,K+)-ATPase. Ultimately, this phenomenon could be linked to the late mineralocorticoid action of this hormone. On the other hand, thyroid hormone, in contrast to the situation in mammals, does not stimulate de novo enzyme synthesis in amphibia. Neither can the antimineralocorticoid action of thyroid hormone in the toad bladder be explained by an inhibition of the (Na+,K+)-ATPase synthesis.

Modulation of genetic associations with serum urate levels by body-mass-index in humans.

We tested for interactions between body mass index (BMI) and common genetic variants affecting serum urate levels, genome-wide, in up to 42569 participants. Both stratified genome-wide association (GWAS) analyses, in lean, overweight and obese individuals, and regression-type analyses in a non BMI-stratified overall sample were performed. The former did not uncover any novel locus with a major main effect, but supported modulation of effects for some known and potentially new urate loci. The latter highlighted a SNP at RBFOX3 reaching genome-wide significant level (effect size 0.014, 95% CI 0.008-0.02, Pinter= 2.6 x 10-8). Two top loci in interaction term analyses, RBFOX3 and ERO1LB-EDARADD, also displayed suggestive differences in main effect size between the lean and obese strata. All top ranking loci for urate effect differences between BMI categories were novel and most had small magnitude but opposite direction effects between strata. They include the locus RBMS1-TANK (men, Pdifflean-overweight= 4.7 x 10-8), a region that has been associated with several obesity related traits, and TSPYL5 (men, Pdifflean-overweight= 9.1 x 10-8), regulating adipocytes-produced estradiol. The top-ranking known urate loci was ABCG2, the strongest known gout risk locus, with an effect halved in obese compared to lean men (Pdifflean-obese= 2 x 10-4). Finally, pathway analysis suggested a role for N-glycan biosynthesis as a prominent urate-associated pathway in the lean stratum. These results illustrate a potentially powerful way to monitor changes occurring in obesogenic environment.