"Minulle on eläminen Kristus" : uskonto ja yhteiskunnallinen äitiys Emma Mäkisen hyväntekeväisyystyössä

Zusammenfassung: "Für mich ist das Leben Christus" : Religion und soziale Mutterschaft in der Fürsorgetätigkeit Emma Mäkinens (1849-1915)

Increasing stair climbing in a train station: effects of contextual variables and visibility

Accumulation of physical activity during daily living is a current public health target that is influenced by the layout of the built environment. This study reports how the layout of the environment may influence responsiveness to an intervention. Pedestrian choices (n = 41 717) between stairs and the adjacent escalators were monitored for seven weeks in a train station (Birmingham, UK). After a 3.5 week baseline period, a stair riser banner intervention to increase stair climbing was installed on two staircases adjacent to escalators and monitoring continued for a further 3.5 weeks. Logistic regression analyses revealed that the visibility of the intervention, defined as the area of visibility in the horizontal plane opposite to the direction of travel (termed the isovist) had a major effect on success of the intervention. Only the largest isovist produced an increase in stair climbing (isovist=77.6 m2, OR = 1.10, CIs 1.02-1.19; isovist=40.7 m2, OR = 0.98, CIs 0.91-1.06; isovist=53.2 m2, OR = 1.00, CIs 0.95-1.06). Additionally, stair climbing was more common during the morning rush hour (OR = 1.56, CIs 1.80-2.59) and at higher levels of pedestrian traffic volume (OR = 1.92, CIs 1.68-2.21). The layout of the intervention site can influence responsiveness to point-of-choice interventions. Changes to the design of train stations may maximize the choice of the stairs at the expense of the escalator by pedestrians leaving the station.

Disputatio pro articulo V. Libri concordiae

Arkit: A-B4.

De laudatione funebri

Dedicatio: Laurentius Tammelin, Jacobus Garwolius, Michael Polviander, Martinus Polviander, Gustavus Rothovius, Justus Schultz Joh. fil., Johannes H. Wittfooth.

Quies coeli

Invocatio: HEPREAA.

Disputatio pro articulo II. Libri concordiae

Arkit: A-C4 D2.

Om medel til saltpettersjuderiernes förbättring och upkomst i riket

Invocatio: M.G.H.

Triga reqvisitorum eruditionis comparandae

Invocatio: I.N.S.S.T.

Animadversiones in commentationem nobilissimi von Crell

Dedicatio: Mich. Montin.

Foedus Salomonis et Hirami leviter adumbratum

Invocatio: Q.F.S.F.Q.

De epistola Eliae ad Joramum, ex 2. Paral. XXI: 12. &c

Mennanderin gratulaatio painettu uudelleen: Das Inland (Dorpat) 1856 pg. 562-563

De [hepreaa] seu mari fuso, in templo Jerosolymitano

Invocatio: [hepreaa].

Primary and Revision Hip Replacement. A University Hospital Database and Registry Study

Large-headed total hip arthroplasty (THA) and hip resurfacing arthroplasty (HRA) with metal-on-metal (MoM) bearings became popular during the last decade. Recently, it has become evident that the large-head MoM hip implants are associated with increased revision rates despite their theoretical advantages. The purpose of this study was to evaluate the early results of primary MoM hip replacements and of acetabular revisions. I analyzed retrospectively the results of four MoM implant designs and the survival rate of acetabular revisions with impaction bone grafting, as documented in the Turku University Hospital database. Further, I evaluated the correlation between femoral head size and dislocation rate, and used the Finnish Arthroplasty Register data to compare the survival of three large-head MoM THAs to analogous HRAs. The early results for the Magnum M2A–ReCap THA were good. A larger head size decreased the risk of dislocation. Articular surface replacement (ASR) THA yielded inferior results compared to analogous HRA. For two other designs the results were similar. The R3–Synergy THA yielded inferior results compared to the reference implants. The survival of acetabular reconstructions with impaction bone grafting was inferior compared to previous reports. In conclusion, the early results of the Biomet ReCap–Magnum design were promising, and large head sizes decreased the dislocation rate. The survival of different MoM hip implant designs varied. The survival of new designs and techniques may be inferior to those reported by the clinics where implants are developed. An important caveat is that early promising results of new devices may rapidly worsen. New implants need to be introduced in a controlled fashion to the market; here, arthroplasty registers are a valuable tool that needs to be used.