Itä-Savon sairaanhoitopiiri Ky:n Savonlinnan keskussairaalan paikannustoiminnan kehittäminen

Terveydenhuollon ja siihen liittyvien palvelujen kustannusten jatkuva kohoaminen ja kuntien paheneva taloustilanne sekä terveydenhuollon pienenevät henkilöstöresurssit ovat lisänneet painetta toimintojen kustannustehokkaaseen toteuttamiseen. Edellä mainitusta johtuen, terveydenhuollon toimijoita kehotetaan etsimään uusia ratkaisuja, joilla voidaan taata jatkossa riittävä asiakaspalvelutaso, kustannustehokkuus ja – palvelujen turvallisuus. Tämän työn tavoitteena oli vastata kysymyksiin tunnistus- ja paikannustoiminnan hyödyntämisen mahdollisuuksista Itä-Savon sairaanhoitopiirin Savonlinnan keskussairaalassa. Tarkoituksena oli selvittää, millaisia paikannus ja tunnistusteknologiaan liittyviä tavoitteita ja vaatimuksia terveydenhuollon toimialalla ja erityisesti Itä-Savon sairaanhoitopiirissä on ja millä tavalla RFID ja WLAN – teknologioilla saadaan kehitettyä asetettuihin tavoitteisiin ja hyötyodotuksiin vastaavat ratkaisut. Työssä pyrittiin selvittämään myös millaisia rahallisia säästöjä tunnistus- ja paikannusteknologioilla voidaan saada aikaan. Työn yhteydessä kartoitettiin tarpeita ja vaatimuksia tunnistus- ja paikannusteknologian hyödyntämiseen. Tarpeet ja vaatimukset testattiin tunnistus- ja paikannuspilotissa. Lisäksi perehdyttiin kirjallisuuteen ja aiempiin tutkimuksiin tunnistus- ja paikannusteknologioista. Suunnitelman perusteella näyttää siltä, että hyödyntämällä tunnistus- ja paikannusteknologioita voitaisiin tehostaa Savonlinnan keskussairaalan toimintaa. Suunnitelman pilottivaiheen tuloksien perusteella toiminnan tehostaminen tarkoittaisi kustannussäästöjä, parantaisi potilasturvallisuutta sekä hoitotyön laatua. Tunnistus- ja paikannusteknologian käyttökohteita sairaalassa voisivat olla esimerkiksi reaaliaikaiseen prosessien ohjaaminen, kulunvalvonnan ja -ohjauksen automatisointi, potilaan automaattinen tunnistaminen, sekä sairaalan tutkimuslaitteiden seuranta.

Optimization of hydrogen plant efficiency

The purpose of this master’s thesis was to study ways to increase the operating cost-efficiency of the hydrogen production process by optimizing the process parameters while, at the same time, maintaining plant reliability and safety. The literature part reviewed other hydrogen production and purification processes as well as raw material alternatives for hydrogen production. The experimental part of the master’s thesis was conducted at Solvay Chemicals Finland Oy’s hydrogen plant in spring 2012. It was performed by changing the process parameters, first, one by one, aiming for a more efficient process with clean product gas and lower natural gas consumption. The values of the process parameters were tested based on the information from the literature, process simulation and experiences of previous similar processes. The studied parameters were reformer outlet temperature, shift converter inlet temperature and steam/carbon ratio. The results show that the optimal process conditions are a lower steam/carbon ratio and reformer outlet temperature than the current values of 3.0 and 798 °C. An increase/decrease in the shift conversion inlet temperature does not affect natural gas consumption, but it has an effect on minimizing the process steam overload.

Corrosion behaviour of boiler tube materials during combustion of fuels containing Zn and Pb

Många förbränningsanläggningar som bränner utmanande bränslen såsom restfraktioner och avfall råkar ut för problem med ökad korrosion på överhettare och/eller vattenväggar pga. komponenter i bränslena som är korrosiva. För att minimera problemen i avfallseldade pannor hålls ångparametrarna på en relativt låg nivå, vilket drastiskt minskar energiproduktionen. Beläggningarna i avfallseldade pannor består till största delen av element som är förknippade med högtemperaturkorrosion: Cl, S, alkalimetaller, främst K och Na, och tungmetaller som Pb och Zn, och det finns också indikationer av Br-förekomst. Det låga ångtrycket i avfallseldade pannor påverkar också stålrörens temperatur i pannväggarna i eldstaden. I dagens läge hålls temperaturen normalt vid 300-400 °C. Alkalikloridorsakad (KCl, NaCl) högtemperaturkorrosion har inte rapporterats vara relevant vid såpass låga temperaturer, men närvaro av Zn- och Pb-komponenter i beläggningarna har påvisats förorsaka ökad korrosion redan vid 300-400 °C. Vid förbränning kan Zn och Pb reagera med S och Cl och bilda klorider och sulfater i rökgaserna. Dessa tungmetallföreningar är speciellt problematiska pga. de bildar lågsmältande saltblandningar. Dessa lågsmältande gasformiga eller fasta föreningar följer rökgasen och kan sedan fastna eller kondensera på kallare ytor på pannväggar eller överhettare för att sedan bilda aggressiva beläggningar. Tungmetallrika (Pb, Zn) klorider och sulfater ökar risken för korrosion, och effekten förstärks ytterligare vid närvaro av smälta. Motivet med den här studien var att få en bättre insikt i högtemperaturkorrosion förorsakad av Zn och Pb, samt att undersöka och prediktera beteendet och motståndskraften hos några stålkvaliteter som används i överhettare och pannväggar i tungmetallrika förhållanden och höga materialtemperaturer. Omfattande laboratorie-, småskale- och fullskaletest utfördes. Resultaten kan direkt utnyttjas i praktiska applikationer, t.ex. vid materialval, eller vid utveckling av korrosionsmotverkande verktyg för att hitta initierande faktorer och förstå deras effekt på högtemperaturkorrosion.

Testing Futures Market Efficiency and Optimal Hedge Ratio Estimation: Evidence from Futures and Options on RTS

This study investigates futures market efficiency and optimal hedge ratio estimation. First, cointegration between spot and futures prices is studied using Johansen method, with two different model specifications. If prices are found cointegrated, restrictions on cointegrating vector and adjustment coefficients are imposed, to account for unbiasedness, weak exogeneity and prediction hypothesis. Second, optimal hedge ratios are estimated using static OLS, and time-varying DVEC and CCC models. In-sample and out-of-sample results for one, two and five period ahead are reported. The futures used in thesis are RTS index, EUR/RUB exchange rate and Brent oil, traded in Futures and options on RTS.(FORTS) For in-sample period, data points were acquired from start of trading of each futures contract, RTS index from August 2005, EUR/RUB exchange rate March 2009 and Brent oil October 2008, lasting till end of May 2011. Out-of-sample period covers start of June 2011, till end of December 2011. Our results indicate that all three asset pairs, spot and futures, are cointegrated. We found RTS index futures to be unbiased predictor of spot price, mixed evidence for exchange rate, and for Brent oil futures unbiasedness was not supported. Weak exogeneity results for all pairs indicated spot price to lead in price discovery process. Prediction hypothesis, unbiasedness and weak exogeneity of futures, was rejected for all asset pairs. Variance reduction results varied between assets, in-sample in range of 40-85 percent and out-of sample in range of 40-96 percent. Differences between models were found small, except for Brent oil in which OLS clearly dominated. Out-of-sample results indicated exceptionally high variance reduction for RTS index, approximately 95 percent.

Improving Transportation and Warehousing Efficiency with Simulation-Based Decision Support Systems

Transportation and warehousing are large and growing sectors in the society, and their efficiency is of high importance. Transportation also has a large share of global carbondioxide emissions, which are one the leading causes of anthropogenic climate warming. Various countries have agreed to decrease their carbon emissions according to the Kyoto protocol. Transportation is the only sector where emissions have steadily increased since the 1990s, which highlights the importance of transportation efficiency. The efficiency of transportation and warehousing can be improved with the help of simulations, but models alone are not sufficient. This research concentrates on the use of simulations in decision support systems. Three main simulation approaches are used in logistics: discrete-event simulation, systems dynamics, and agent-based modeling. However, individual simulation approaches have weaknesses of their own. Hybridization (combining two or more approaches) can improve the quality of the models, as it allows using a different method to overcome the weakness of one method. It is important to choose the correct approach (or a combination of approaches) when modeling transportation and warehousing issues. If an inappropriate method is chosen (this can occur if the modeler is proficient in only one approach or the model specification is not conducted thoroughly), the simulation model will have an inaccurate structure, which in turn will lead to misleading results. This issue can further escalate, as the decision-maker may assume that the presented simulation model gives the most useful results available, even though the whole model can be based on a poorly chosen structure. In this research it is argued that simulation- based decision support systems need to take various issues into account to make a functioning decision support system. The actual simulation model can be constructed using any (or multiple) approach, it can be combined with different optimization modules, and there needs to be a proper interface between the model and the user. These issues are presented in a framework, which simulation modelers can use when creating decision support systems. In order for decision-makers to fully benefit from the simulations, the user interface needs to clearly separate the model and the user, but at the same time, the user needs to be able to run the appropriate runs in order to analyze the problems correctly. This study recommends that simulation modelers should start to transfer their tacit knowledge to explicit knowledge. This would greatly benefit the whole simulation community and improve the quality of simulation-based decision support systems as well. More studies should also be conducted by using hybrid models and integrating simulations with Graphical Information Systems.

E-PORT. Improving efficiency of Finnish port community by intelligent systems Final report of the Mobile Port project

The management of port-related supply chains is challenging due to the complex and heterogeneous operations of the ports with several actors and processes. That is why the importance of information sharing is emphasised in the ports. However, the information exchange between different port-related actors is often cumbersome and it still involves a lot of manual work and paper. Major ports and port-related actors usually have advanced information systems in daily use but these systems are seldom interoperable with each other, which prevents economies of scale to be reached. Smaller ports and companies might not be equipped with electronic data transmission at all. This is the final report of the Mobile port (MOPO) project, which has sought ways to improve the management and control of port-related sea and inland traffic with the aid of ICT technologies. The project has studied port community systems (PCS) used worldwide, evaluated the suitability of a PCS for the Finnish port operating environment and created a pilot solution of a Finnish PCS in the port of HaminaKotka. Further, the dry port concept and its influences on the transportation system have been explored. The Mobile Port project comprised of several literature reviews, interviews of over 50 port-related logistics and/or ICT professionals, two different kinds of simulation models as well as designing and implementing of the pilot solution of the Finnish PCS. The results of these multiple studies are summarised in this report. Furthermore, recommendations for future actions and the topics for further studies are addressed in the report. The study revealed that the information sharing in a typical Finnish port-related supply chain contains several bottlenecks that cause delays in shipments and waste resources. The study showed that many of these bottlenecks could be solved by building a port community system for the Finnish port community. Almost 30 different kinds of potential services or service entities of a Finnish PCS were found out during the study. The basic requirements, structure, interfaces and operation model of the Finnish PCS were also defined in the study. On the basis of the results of the study, a pilot solution of the Finnish PCS was implemented in the port of HaminaKotka. The pilot solution includes a Portconnect portal for the Finnish port community system (available at https://www.portconnect.fi) and two pilot applications, which are a service for handling the information flows concerning the movements of railway wagons and a service for handling the information flows between Finnish ports and Finland-Russian border. The study also showed that port community systems can be used to improve the environmental aspects of logistics in two different ways: 1) PCSs can bring direct environmental benefits and 2) PCSs can be used as an environmental tool in a port community. On the basis of the study, the development of the Finnish port community system should be continued by surveying other potential applications for the Finnish PCS. It is also important to study if there is need and resources to extend the Finnish PCS to operate in several ports or even on a national level. In the long run, it could be reasonable to clarify whether there would be possibilities to connect the Finnish PCS as a part of Baltic Sea wide, European-wide or even worldwide maritime and port-related network in order to get the best benefit from the system

Enhanced muscle strength with carbohydrate supplement two hours before open cholecystectomy: a randomized, double-blind study

Objective: to investigate the effects of preoperative fasting abbreviation with oral supplementation with carbohydrate in the evolution of grip strength in patients undergoing cholecystectomy by laparotomy. Methods : we conducted a clinical, randomizeddouble blind study with adult female patients, aged 18-60 years. Patients were divided into two groups: Control Group, with fasting prescription 6-8h until the time of operation; and Intervention Group, which received prescription of fasting for solids 6-8h before surgery, but ingested an oral supplement containing 12.5% carbohydrate, six (400ml) and two (200ml) hours before theprocedure. The handgrip strength was measured in both hands in both groups, at patient's admission (6h before surgery), the immediate pre-operative time (1h before surgery) and 12-18h postoperatively. Results : we analyzed 27 patients, 14 in the intervention group and 13 in the control group. There was no mortality. The handgrip strength (mean [standard deviation]) was significantly higher in the intervention group in the three periods studied, in at least one hand: preoperatively in the dominant hand (27.8 [2.6] vs 24.1 [3.7] kg; p=0.04), in the immediate preoperative in both hands, and postoperatively in the non-dominant hand (28.5 [3.0] vs 21.3 [5.9] kg; p=0.01). Conclusion : the abbreviation of preoperative fasting to two hours with drink containing carbohydrate improves muscle function in the perioperative period.

The energy efficiency of chilled beam systems in an office building at different climates

Besides the sustaining of healthy and comfortable indoor climate, the air conditioning system should also achieve for energy efficiency. The target indoor climate can be ob-tained with different systems; this study focuses on comparing the energy efficiency of different air conditioning room unit systems in different climates. The calculations are made with dynamic energy simulation software IDA ICE by comparing the indoor cli-mate and energy consumption of an office building with different systems in different climates. The aim of the study is to compare the energy efficiency of chilled beam systems to other common systems: variable air volume, fan coil and radiant ceiling systems. Besides the annual energy consumption also the sustainability of target indoor climate is compared between the simulations. Another aim is to provide conclusions to be used in the product development of the chilled beam systems’ energy efficiency. The adaptable chilled beam system and the radiant ceiling system prove to be energy efficient independent of the climate. The challenge of reliable comparison is that other systems are not able to reach the target indoor climate as well as the others. The complex calculation environment of the simulation software, made assumptions and excluding of the financial aspects complicate comparing the big picture. The results show that the development of the chilled beam systems should concentrate on energy efficient night heating, flexible demand based ventilation and capacity control and possibilities on integrating the best practices with other systems. 

Puuhydrolysaatin esikäsittely foulaantumisen vähentämiseksi ultrasuodatuksessa

Tässä kandidaatintyössä tutkittiin, voidaanko puuhydrolysaatin esikäsittelyllä vähentää sen ultrasuodatuksen aikana esiintyvää kalvojen foulaantumista. Kokeellinen osa rajattiin koskemaan hydrolysaatin käsittelyä lakkaasientsyymillä, flokkulanteilla, kitosaanilla sekä adsorbentin ja lakkaasientsyymin yhdistelmällä. Esikäsittelyjen tavoitteena oli poistaa tai hajottaa hydrolysaatin sisältämää ligniiniä. Käsittelyjen teho testattiin suodattamalla eri tavoin käsiteltyä hydrolysaattia laboratoriokokeissa. Kokeissa adsorbentin ja lakkaasientsyymin yhdistelmäkäsittely osoittautui parhaaksi. Suodatuskapasiteetti parani ja foulaantuminen väheni verrattuna esikäsittelemättömän hydrolysaatin suodatukseen. Ligniiniä poistui käsittelyssä, kuten tavoitteena oli. Suodatuksessa kuitenkin edelleen tapahtui foulaantumista ja esikäsittelyn tehoa tulisi siksi vielä parantaa. Myös esikäsittely lakkaasientsyymillä paransi suodatuskapasiteettia ja vähensi foulaantumista, mutta vähemmän kuin entsyymi-adsorbenttikäsittely.

Energy Efficiency Consideration in Electric Vehicle Transmission

This study is a survey of benefits and drawbacks of embedding a variable gearbox instead of a single reduction gear in electric vehicle powertrain from efficiency point of view. Losses due to a pair of spur gears meshing with involute teeth are modeled on the base of Coulomb’s law and fluid mechanics. The model for a variable gearbox is fulfilled and further employed in a complete vehicle simulation. Simulation model run for a single reduction gear then the results are taken as benchmark for other types of commonly used transmissions. Comparing power consumption, which is obtained from simulation model, shows that the extra load imposed by variable transmission components will shade the benefits of efficient operation of electric motor. The other accomplishment of this study is a combination of modified formulas that led to a new methodology for power loss prediction in gear meshing which is compatible with modern design and manufacturing technology.

The Anchoring Bias of Investors and the 52-Week High Momentum Strategy in the OMX Helsinki Stock Exchange: Psychological Approach to Market Efficiency

The behavioural finance literature expects systematic and significant deviations from efficiency to persist in securities markets due to behavioural and cognitive biases of investors. These behavioural models attempt to explain the coexistence of intermediate-term momentum and long-term reversals in stock returns based on the systematic violations of rational behaviour of investors. The study investigates the anchoring bias of investors and the profitability of the 52-week momentum strategy (GH henceforward). The relatively highly volatile OMX Helsinki stock exchange is a suitable market for examining the momentum effect, since international investors tend to realise their positions first from the furthest security markets by the time of market turbulence. Empirical data is collected from Thomson Reuters Datastream and the OMX Nordic website. The objective of the study is to provide a throughout research by formulating a self-financing GH momentum portfolio. First, the seasonality of the strategy is examined by taking the January effect into account and researching abnormal returns in long-term. The results indicate that the GH strategy is subject to significantly negative revenues in January, but the strategy is not prone to reversals in long-term. Then the predictive proxies of momentum returns are investigated in terms of acquisition prices and 52-week high statistics as anchors. The results show that the acquisition prices do not have explanatory power over the GH strategy’s abnormal returns. Finally, the efficacy of the GH strategy is examined after taking transaction costs into account, finding that the robust abnormal returns remain statistically significant despite the transaction costs. As a conclusion, the relative distance between a stock’s current price and its 52-week high statistic explains the profits of momentum investing to a high degree. The results indicate that intermediateterm momentum and long-term reversals are separate phenomena. This presents a challenge to current behavioural theories, which model these aspects of stock returns as subsequent components of how securities markets respond to relevant information.

Tuotekehityksen suorituskyvyn tehostaminen metalliteollisuusyrityksessä

Tuotekehityksen rooli yrityksen oleellisena menestystekijänä korostuu entistä enemmän alati kovenevassa kilpailussa. Tuotekehityksen tulee toimia entistä tehokkaammin turvatakseen yrityksen menestyminen. Tämän tutkimuksen tavoitteena oli selvittää ja tuoda esiin niitä oleellisia tekijöitä, jotka vaikuttavat metalliteollisuudessa toimivan yrityksen tuotekehityksen suorituskykyyn ja sen tehostamiseen. Tutkimuksen avulla pyrittiin lisäämään informaatiota tuotekehitys- ja yritysjohdon päätöksenteon tueksi. Lisäksi tutkimus antaa tietoa tuotekehityksen suorituskyvyn mittausjärjestelmän suunnittelusta, käyttöönotosta, käytöstä sekä käytetyistä mittausjärjestelmistä ja mittareista. Tuotekehityksen suorituskykyä tarkasteltiin useammasta näkökulmasta. Empiiristä aineistoa koottiin kirjallisuuskatsauksen ja yrityksessä toteutetun kyselyn avulla. Yrityskyselyssä käytettiin neliportaista Likert-skaalaa. Kyselyn tuloksia arvioitiin keskiarvojen ja -hajontojen perusteella. Tutkimuksen tuloksena selvisi, että suorituskyvyn mittauksella ja mittausjärjestelmän avulla voidaan tehostaa tuotekehityksen suorituskykyä. Niitä tärkeitä osa-alueita, joihin tehostamistoimenpiteet tulee kohdistaa, ovat asiakas, henkilöstö, strategia, talous ja mittaamiseen liittyvät tekijät. Yrityksissä piilevänä olevan aineettoman pääoman arvoa ja sen tarjoamaa menestyspotentiaalia ei ole aina tiedostettu.

Ammoniumin, fosfaatin ja nitraatin poisto adsorption avulla

Kiinnostus ravinneionien ammoniumin, fosfaatin ja nitraatin poistoon liittyy niiden ne-gatiivisiin ympäristövaikutuksiin ja niiden poistoon jätevesistä on olemassa erilaisia tekniikoita. Tässä työssä ionien poistoa tutkittiin adsorptiotekniikan avulla. Siinä perus-ajatuksena on ionin kiinnittyminen adsorbentin pintaan, jolloin sen poistaminen käsitel-tävästä vedestä on mahdollista. Tässä diplomityössä tutkittiin eri adsorbentteja ammoniumin, fosfaatin ja nitraatin poistoon, ja päämääränä oli niiden yhtäaikainen poistaminen. Kokeita tehtiin niin laboratoriossa valmistetuille ravinneliuoksille kuin Yara Suomi Oy:n Siilinjärven (Yara) toimipaikalta toimitetuille vesille. Yaran vesien osalta pääpaino oli ammoniumin poistossa. Tutkimuksen haasteina olivat ionien erilaiset varaukset, jolloin esimerkiksi positiivisesti varautunut ammoniumioni kiinnittyi negatiivisesti varautuneen adsorbentin pintaan hel-poiten. Toisaalta negatiivisesti varautuneet anionit fosfaatti ja nitraatti suosivat positiivi-sesti varautuneita adsorbentteja. Myös muiden ionin läsnäolo joko edisti tai esti adsorboitumista ja joissain tapauksissa pH:lla oli suuri merkitys prosessin onnistumiseen. Saatuja tuloksia tarkasteltiin tutkittujen ionien poistoprosenttien ja isotermimallinnuksien kautta unohtamatta muita esille tulleita seikkoja. Saatujen tulosten mukaan etenkin kalsinoitu hydrotalsiitti poisti fosfaattia ja nitraattia, mutta se ei mainittavasti toiminut ammoniumille. Ammoniumille sen sijaan toimi par-haiten zeoliitit ja bentoniitti, jotka vähensivät myös Yaran vesien ammoniumpitoisuutta. Ionien yhtäaikainen poistaminen oli haastavaa ja sen parempi ymmärtäminen edellyttää jatkotutkimuksia. Yksi jatkotutkimuskohde voisi olla eri adsorbenttien yhdistäminen keskenään, ja tästä saatiin jo alustavia, rohkaisevia tuloksia.

Reproductive efficiency of asymptomatic Theileria equi carriers mares submitted to an embryo transfer program

This study aimed to assess and evaluate the effects of Theileria equi infection on embryonic recovery, gestation and early embryonic loss. Thirteen Mangalarga Marchador Theileria equi positive donors (diagnosed through nested-PCR) and 40 embryos receptors were used. Donors were submitted to two embryo collections in two consecutive estrous cycles (GId); after, the same mares were treated with imidocarb dipropionate (1.2mg/kg IM.) in order to collect more embryos in two more estrous cycles (GIId). Receptors were divided into two groups (control and with treated) with 20 animals each, where one group was the control (GIr) and the other one (GIIr) treated with 1.2mg/kg IM of imidocarb dipropionate assessing the gestation rate at 15, 30, 45 and 60 days. After 52 embryo collections, the embryonic recovery rates were 53.84% (14/26) and 65.38% (17/26) (p> 0.05) for GId and GIId, respectively. The gestation rate was 70% (14/20) (p>0.05) at 15, 30, 45 and 60 days in group GIr and for GIIr was 85% (17/20) (p>0.05) at 15 days, 80% (16/20) (p>0.05) at 30, 45 and 60 days. The treatment with imidocarb dipropionate did not cause significant improvement in the reproductive efficiency at an ET program.