Biopsies de la prostate en 2015: quelle biopsie pour quel patient [Prostate biopsy: which strategy for which patient?].

L'adoption de l'IRM dans le parcours diagnostique a déterminé la transition des biopsies aléatoires aux biopsies ciblées vers les lésions visibles à l'imagerie. L'utilisation de logiciels rendant possible la fusion d'images IRM et échographiques permet d'améliorer significativement la précision diagnostique de ces biopsies. De plus, pour déterminer l'éligibilité d'un patient à une thérapie focale, davantage de précision diagnostique est requise au niveau de toute la glande ; par conséquent, des biopsies avec une densité d'échantillonnage plus élevée par voie transpérinéale peuvent être proposées.Les nouvelles techniques de biopsie de la prostate permettent une prise en charge personnalisée grâce à une meilleure caractérisation de l'agressivité et de l'extension locale du cancer de la prostate. The adoption of multiparametric MRI within the diagnostic pathway has allowed urologists to move from random biopsy to targeted biopsy directed towards MR-visible lesions. The use of software for MR to TRUS fusion may enhance the diagnostic accuracy of targeted biopsy. To determine the eligibility for tissue-preserving approaches, further precision is required, and template prostate mapping biopsy may be offered. The employment of novel biopsy techniques provide better characterisation of the disease, and allows a tailored approach to a single subject.

Social media marketing strategy: concepts and steps to form connections

The emergence of social media has led many companies to adopt them as marketing channels. Yet these media are novel enough that many marketers are still unsure as to how to plan an effective social media marketing strategy, actually oriented towards engaging prospects. In this article, we discuss how to shape a social media strategy. To do so, we show the key concepts and steps involved in the planning process of this type of digital marketing strategy, and how to measure their impact immediately.

Managing the Front End of Innovation in a Networked Company Environment - Combining Strategy, Processes and Systems of Innovation

The objective of the thesis is to enhance the understanding about the management of the front end phases of the innovation process in a networked environment. The thesis approaches the front end of innovation from three perspectives, including the strategy, processes and systems of innovation. The purpose of the use of different perspectives in the thesis is that of providing an extensive systemic view of the front end, and uncovering the complex nature of innovation management. The context of the research is the networked operating environment of firms. The unit of analysis is the firm itself or its innovation processes, which means that this research approaches the innovation networks from the point of view of a firm. The strategy perspective of the thesis emphasises the importance of purposeful innovation management, the innovation strategy of firms. The role of innovation processes is critical in carrying out innovation strategies in practice, supporting the development of organizational routines for innovation, and driving the strategic renewal of companies. The primary focus of the thesis from systems perspective is on idea management systems, which are defined as a part of innovation management systems, and defined for this thesis as any working combination of methodology and tools (manual or IT-supported) that enhance the management of innovations within their early phases. The main contribution of the thesis are the managerial frameworks developed for managing the front end of innovation, which purposefully “wire” the front end of innovation into the strategy and business processes of a firm. The thesis contributes to modern innovation management by connecting the internal and external collaboration networks as foundational elements for successful management of the early phases of innovation processes in a dynamic environment. The innovation capability of a firm is largely defined by its ability to rely on and make use of internal and external collaboration already during the front end activities, which by definition include opportunity identification and analysis, idea generation, profileration and selection, and concept definition. More specifically, coordination of the interfaces between these activities, and between the internal and external innovation environments of a firm is emphasised. The role of information systems, in particular idea management systems, is to support and delineate the innovation-oriented behaviour and interaction of individuals and organizations during front end activities. The findings and frameworks developed in the thesis can be used by companies for purposeful promotion of their front end processes. The thesis provides a systemic strategy framework for managing the front end of innovation – not as a separate process, but as an elemental bundle ofactivities that is closely linked to the overall innovation process and strategy of a firm in a distributed environment. The theoretical contribution of the thesis relies on the advancement of the open innovation paradigm in the strategic context of a firm within its internal and external innovation environments. This thesis applies the constructive research approach and case study methodology to provide theoretically significant results, which are also practically beneficial.

Strategiamenetelmän hyödyntäminen huonekaluliiketoiminnan kehittämisessä

Strategia on yrityksen toiminnan perusta. Perinteisillä toimialoilla ei välttämättä nähdä tavoitteellisen strategian tarpeellisuutta ja tärkeä strategiasuunnittelu jää toissijaiseksi. Löytämällä erottuva strategia omaa yritys kilpailuedun. Sinisen meren strategia on teoreettinen viitekehys luoda erilaistavaa liiketoimintaa. Strategian avulla voidaan tunnistaa ja luoda strategiaprofiili uudelle liiketoiminnalle jossa kilpailu ei tehnyt toiminnasta liian haavoittuvaista. Tämä nykytilanteen analysointiin ja siitä erilaistumiseen perustuva muutos voi liittyä itse tuotteeseen tai palveluun, sen tuotteistamiseen tai tuotteen jakelutien uudelleenasemointiin. Strategiatyön tarpeellisuus huonekalujen valmistamisessa ja myynnissä on muuttuvassa tilanteessa avainasemassa. Korkea valmistamisen kustannustaso ei mahdollista kilpailua edullisien tuontituotteiden kanssa ja korkeamman hintatason tuotteilla on toisaalta rajattu ostajakunta sisämarkkinoilla. Monelle toimijalle vientityön aloittaminen on riskialtis kustannuserä. Huonekaluteollisuudessa ja –jakeluteissä on ylikapasiteettia suhteessa kannattavaan liiketoimintaan. Erilaistavina markkinatekijöinä on pidetty hintaa molemmissa ääripäissä, laatua ja designiä. Hyvän jakelutien omaavat yritykset ovat hoitaneet valtakunnallisen myynnin karsien pienet toimijat alalta. Valmistuksessa innovatiivisuus perustuu lähinnä tehokkaaseen tuotantotekniikkaan, mikä osaltaan on nostanut investointien tasoa ja toteutuksen mielekkyyttä. Tuotteena huonekalu on kuitenkin teknisiltä ominaisuuksiltaan yleensä matala ja jo pienellä pääomalla on aloitettavissa tuotannollinen toiminta, mutta tällöin ei menestytä välttämättä tuottavuudessa. Uusina tekijöinä kompleksisessa tilanteessa on nähtävissä voimakkaasti tulossa oleva ympäristöarvojen suurempi huomioiminen. Näistä elementeistä voidaan etsiä strategiaprofiilin avulla uusia markkinarajapintoja, joissa kilpailutilanne mahdollistaa kannattavan liiketoiminnan. Työssä tutkitaan strategiamenetelmän hyödyntämismahdollisuutta, sen perusteita ja tarpeellisuutta perinteisen muutosjäykän teollisuudenalan ja kilpailtujen huonekalumarkkinoiden segmentissä. Uuden toimintamallin tarpeen, strategian, ymmärtämiseksi on tiedostettava ympäristössä tapahtuneet muutokset ja kartoitettava nykyinen strategiaprofiili. Tähän liittyen läpikäydään ne seikat jotka ovat aiheuttaneet nykytilanteen ja näin muutostarpeen tässä markkinassa.

Multichannel distribution strategy for electrical equipment marketing

The thesis examines System Integration and original equipment manufacturer (OEM) channel in the St. Petersburg drives market. The aim of the study was to increase understanding the relationship between OEM and SI and producers, problems and ongoing trends. The collected data was analyzed in order to find out which features of a power electronic drive product exercise a significant influence for the Russian companies decision. An essential part of this study was interviews as primary information sources, organized with SI and OEM companies which represented the basic SPb industry segments. The wholesalers and end users are left out from the analysis. The collected data was analyzed in order to find out which features of a power electronic drive product exercise a significant influence for the Russian companies decision.

Hankintojen suorituskyvyn analyysi- ja kehittämismalli

Työn tavoitteena oli luoda analyysimalli, jonka avulla voidaan helposti ja silti kattavasti tarkastella yrityksen hankintojen nykytilaa sekä tunnistaa tärkeimmät kehittämiskohteet. Malli on suunnattu teollisuusyrityksissä korkeintaan kerran vuodessa tehtäviin analyyseihin. Hankintojen analyysimalli rakennettiin hyödyntäen kirjallisuudessa esille tulleita hankintojen mittareita ja mittaamisen periaatteita sekä konstruktiivista tutkimus-otetta. Malli rakentuu yhdeksästä osasta: Yrityksen taustatiedot, Hankinta-analyysin lähtökohta, Strategia-analyysi, Ostoanalyysi, Toimittaja-analyysi, Organisaatioanalyysi, Toimintamalli-analyysi, Yhteenveto ja Toimenpide-suositukset. Malli sisältää sekä määrällisiä että laadullisia mittareita. Mallia testattiin kahdessa case-yrityksessä. Kummassakin yrityksessä oli käytössä monia, muttei ei kaikkia, mallin mittareita. Case-haastatteluiden pohjalta malliin lisättiin joitakin mittareita. Merkittävää karsintaa mallissa ei kuitenkaan tehty, koska laajasta mittarivalikoimasta on helppo räätälöidä yrityskohtainen malli.

Resources and capabilities approach to online strategy – Multiple-case study of Finnish magazines' online services

Most Finnish periodical magazines have a website, often an online service. The objective of this thesis is to understand the magazines’ resources and capabilities and match them with online strategies’ goals and objectives. The thesis’ theoretical part focuses on explaining and classifying resources, capabilities, goals and objectives, and applying everything into Finnish magazine publishing context. In the empirical part, there is a comparative case study of four magazines. The findings indicate that with cooperating, advertising and community hosting capabilities magazines may utilize their human, brand, content and customer base resources. The resources can be further addressed to reach profitability, customer-centricity and brand congruency goals.

Developing the Sourcing with the Purchasing Tool in the Chemical Company

The aim of this research was to investigate Tikkurila Oyj's Vantaa factories' current status in procurement and to develop the reporting of purchases and purchase warehouses, and to measure the activities during the implementation of the new purchasing tool. The implemented purchasing tool was based on ABC-analysis. Based on its reports the importance of performance measurements for the operations of the company, and the purpose of getting transparency to the company's supply chain on the part of purchasing were examined. A successful purchase- and material operation calls for accurate knowledge and professional skills. The research proved that with a separate purchasing tool, that analyses the existing information of the company's production management system, it is possible to get added value to whole supply chain's needs. The analyses and reports of the purchasing tool enable a more harmonized purchasing process at the operative level, and create a basis for internal targets and to their follow-up. At the same time the analyses clarify the current status and development trends of procurement fresh to the management. The increase of the possibilities of exploitation of information technology enables a perfect transparency to the case company's purchase department.

Hankintaosaaminen Päijät-Hämeen sosiaali- ja terveydenhuollon kuntayhtymässä

Pro gradu -tutkielman tarkoituksena on tutkia Päijät-Hämeen sosiaali- ja terveydenhuollon kuntayhtymän hankintojen roolia ja asemaa koko organisaatiossa ja sen muodostamia tavoitteita ja haasteita hankinta-asiantuntijuudelle. Tutkielman avulla pyritään selvittämään, millaisista elementeistä organisaation hankinta-asiantuntijuus muodostuu ja millaiset tekijät vaikuttavat organisaation hankinta-asiantuntijuustarpeisiin. Tutkielma ottaa kantaa hankintojen roolituksista kumpuaviin asiantuntijuuden kehittämistarpeisiin. Tutkielma on luonteeltaan kvantitatiivisia sekä kvalitatiivisia menetelmiä yhdistelevä case-tutkimus. Pyrkimyksenä on kartoittaa kuntayhtymälle ehdotelma hankinta-asiantuntijuuden kehittämisestä haastattelujen ja kyselyn avulla sekä kirjallisuuteen perehtyen. Teorian pohjalta pystyttiin muodostamaan hankintapäällikölle, hankintasihteereille sekä OTO -ostajille osaamisprofiilit, joihin peilattiin tämän hetkistä osaamistasoa. Tutkimustulokset osoittivat, että hankinta-asiantuntijuus case -organisaatiossa on tällä hetkellä hyvällä tasolla. Hankintaprofiilista riippumatta kehittämistä kaivattiin Liiketoimintastrategian, Suomen hankintalainsäädännön, Sopimusoikeuden sekä Hankintaprosessin suhteen.

The Role of Preannouncing In Innovation Launch Strategy

The objective of this master’s thesis was to examine the role of preannouncing in innovation launch strategy. Preannouncing was studied from three different angles that were preannouncement usage, preannouncement timing and preannouncement goals and from two different perspectives that were the firm’s internal strategy and the external circumstances. The firm’s internal strategy encompassed the product strategy the firm had chosen. The external circumstances consisted of the industry, the nature of competition and the nature of market. Additionally, the product’s performance in the short term was studied in order to be able to speak out whether it is advantageous to preannounce. The empirical study was conducted as a partial replication study. The data for the empirical part was collected with a wide mailing and Internet enquiry in October 2008 – June 2009. Sample (N = 713) consisted of Finnish firms representing different industries and innovation activities. The data collection produced 272 answers and thus, the final response rate of the study was 38.15 %. The data was analyzed by using Microsoft Excel and statistical analysis program SAS Enterprise Guide. As a conclusion, the major results indicate that even if the firms use preannouncing quite often (54.8 % of the respondents), preannouncing behavior cannot be explained by industry. However, out of other external circumstances, the customer related turbulence affects on preannouncing usage. It was also revealed that the product type has an effect on preannouncing behavior. Additionally, preannouncement timing was noticed to differ according to audiences (distributors and end users).

Is it possible to utilize VIX for a profitable trading strategy of S&P 500 Index?

The goal of this research was to make an overall sight to VIX® and how it can be used as a stock market indicator. Volatility index often referred as the fear index, measures how much it costs for investor to protect his/her S&P 500 position from fluctuations with options. Over the relatively short history of VIX it has been a successful timing coordinator and it has given incremental information about the market state adding its own psychological view of the amount of fear and greed. Correctly utilized VIX information gives a considerable advantage in timing market actions. In this paper we test how VIX works as a leading indicator of broad stock market index such as S&P 500 (SPX). The purpose of this paper is to find a working way to interpret VIX. The various tests are made on time series data ranging from the year 1990 to the year 2010. The 10-day simple moving average strategy gave significant profits from the whole time when VIX data is available. Strategy was able to utilize the increases of SPX in example portfolio value and was able to step aside when SPX was declining. At the times when portfolio was aside of S it was on safety fund like on treasury bills getting an annual yield of 3 percent. On the other side just a static number’s of VIX did not work as indicators in a profit making way.

Integrating eco-innovation principles into regional strategy and policy: case of Päijät-Häme region, Finland

This study focuses on the integration of eco-innovation principles into strategy and policy at the regional level. The importance of regions as a level for integrating eco-innovative programs and activities served as the point of interest for this study. Eco-innovative activities and technologies are seen as means to meet sustainable development objective of improving regions’ quality of life. This study is conducted to get an in-depth understanding and learning about eco-innovation at regional level, and to know the basic concepts that are important in integrating eco-innovation principles into regional policy. Other specific objectives of this study are to know how eco-innovation are developed and practiced in the regions of the EU, and to analyze the main characteristic features of an eco-innovation model that is specifically developed at Päijät-Häme Region in Finland. Paijät-Häme Region is noted for its successful eco-innovation strategies and programs, hence, taken as casework in this study. Both primary (interviews) and secondary data (publicly available documents) are utilized in this study. The study shows that eco-innovation plays an important role in regional strategy as reviewed based on the experience of other regions in the EU. This is because of its localized nature which makes it easier to facilitate in a regional setting. Since regional authorities and policy-makers are normally focused on solving its localized environmental problems, eco-innovation principles can easily be integrated into regional strategy. The case study highlights Päijät-Häme Region’s eco-innovation strategies and projects which are characterized by strong connection of knowledge-producing institutions. Policy instruments supporting eco-innovation (e.g. environmental technologies) are very much focused on clean technologies, hence, justifying the formation of cleantech clusters and business parks in Päijät-Häme Region. A newly conceptualized SAMPO model of eco-innovation has been developed in Päijät-Häme Region to better capture the region’s characteristics and to eventually replace the current model employed by the Päijät-Häme Regional Authority. The SAMPO model is still under construction, however, review of its principles points to some of its three important spearheads – practice-based innovation, design (eco-design) and clean technology or environmental technology (environment).