Puunpolton mahdollisuudet Suomenojan voimalaitoksella

Puuenergian käyttö on viime vuosina lisääntynyt kaukolämmön tuotannossa sekä yhdistetyssä sähkön ja lämmön tuotannossa. Puun kilpailukykyä polttoaineena ovat lisänneet polttotekniikan ja korjuutekniikoiden kehittyminen. Puun energiakäyttöä on edistänyt myös valtiovalta tukien ja veroratkaisuiden avulla, koska fossiilisten polttoaineiden korvaaminen puupolttoaineilla tukee Suomen ilmastopoliittisia tavoitteita. Tämän työn tavoitteena oli selvittää puupolttoaineiden käytön mahdollisuudet Espoon Sähkön Suomenojan voimalaitoksella. Nykyiset Suomenojan pääpolttoaineet ovat kivihiili ja maakaasu. Suomenojalle toimitetut puupolttoaineet koostuisivat sahoilta saatavista sivutuotteista, metsätähdehakkeesta ja kierrätyspuusta. Puupolttoaineiden taloudellinen saatavuus vaihtelee alueittain huomattavasti. Espoo ei tässä suhteessa ole sijainniltaan edullinen. Saatujen polttoainetarjousten perusteella puunpolton kustannukset nousevat kivihiilen kustannuksia korkeammiksi kuljetusetäisyyksistä johtuen, kun puunpoltto on yli 300 GWh/a. Tämä vastaisi 10 prosenttia Espoon Sähkön vuoden 2000 kokonaispolttoainekäytöstä ja 8 prosenttia arvioidusta polttoaineiden käytöstä vuodelle 2010. Puuta voidaan polttaa leijukerrostekniikkaan perustuvissa kattiloissa, arinakattiloissa, pölypolttona tai kaasuttamalla ja johtamalla tuotekaasu poltettavaksi. Puun ravinneaineista kloori voi aiheuttaa kuumakorroosiota höyrykattiloiden tulistimissa. Tätä pyritään estämään seospoltolla rikkipitoisten polttoaineiden, kuten turpeen tai kivihiilen kanssa. Seospoltto muiden polttoaineiden kanssa parantaa myös puun palamistulosta. Puupolttoaineiden kosteus voi olla jopa 60 prosenttia. Tässä työssä tutkittiin puun energiakäytölle pääasiassa kuutta eri ratkaisua. Ne olivat: kaasuttimen rakentaminen ja tuotekaasun poltto nykyisessä hiilipölykattilassa, hiilipölykattilan muuttaminen leijukerrospolttoon, uuden vastapainevoimalaitoksen rakentaminen, Suomenojalla olevan hiilivesikattilan muuttaminen puupolttoaineille, kivihiilen ja puun yhteispoltto hiilipölykattilassa puu/hiilipölypolttimilla sekä leijukerroskattilan rakentaminen ja sen yhdistäminen olemassa olevaan höyryturbiiniin. Taloudellisesti kannattaviksi ratkaisuiksi osoittautui kaksi viimeksi mainittua. Jos voimalaitostonttia halutaan säästää myöhempää maakaasuvoimalaitoshanketta varten, nousee puun ja kivihiilen yhteispoltto puu/hiilipölypolttimilla oleellisesti paremmaksi vaih-toehdoksi. Tämän vaihtoehdon korollinen takaisinmaksuaika on 7-11 vuotta, riippuen puunpolton laajuudesta. Kannattavuudelle on hyvin tärkeää puulla tuotetun sähkön tuki. Yhteispolton ansiosta hiilipölykattilan rikkidioksidi- ja hiilidioksidipäästöt sekä mahdollisesti myös typenoksidipäästöt vähenisivät. Puunpoltto lisää savukaasuvirtaa, nostaa savukaasun loppulämpötilaa ja mahdollisesti laskee hyötysuhdetta. Laitoksen rekkaliikenne lisääntyy. Kaikki esitetyt ratkaisuvaihtoehdot vähentäisivät hiilidioksidipäästöjä. Puunpolttoratkaisuilla ei kuitenkaan pystytä vähentämään Espoon Sähkön energiantuotannon hiilidioksidipäästöjä alle vuoden 1990 tason, mutta hiilidioksidin ominaispäästöissä edellä mainitun tason alle päästäisiin.

Molecular Analysis of NOTCH2 in Patients with Primary Open-Angle Glaucoma.

BACKGROUND AND PURPOSE: Transgenic mice overexpressing Notch2 in the uvea exhibit a hyperplastic ciliary body leading to increased IOP and glaucoma. The aim of this study was to investigate the possible presence of NOTCH2 variants in patients with primary open-angle glaucoma (POAG). METHODS: We screened DNA samples from 130 patients with POAG for NOTCH2 variants by denaturing high-performance liquid chromatography after PCR amplification and validated our data by direct Sanger sequencing. RESULTS: No mutations were observed in the coding regions of NOTCH2 or in the splice sites. 19 known SNPs (single nucleotide polymorphisms) were detected. An SNP located in intron 24, c.[4005+45A>G], was seen in 28.5% of the patients (37/130 patients). As this SNP is reported to have a minor allele frequency of 7% in the 1000 genomes database, it could be associated with POAG. However, we evaluated its frequency in an ethnic-matched control group of 96 subjects unaffected by POAG and observed a frequency of 29%, indicating that it was not related to POAG. CONCLUSION: NOTCH2 seemed to be a good candidate for POAG as it is expressed in the anterior segment in the human eye. However, mutational analysis did not show any causative mutation. This study also shows that proper ethnic-matched control groups are essential in association studies and that values given in databases are sometimes misleading.

Multiple Myeloma with primary manifestation in the mandible: a case report

Multiple myeloma is a monoclonal malignant proliferation of plasma cells that causes osteolytic lesions in the vertebrae, ribs, pelvic bone, skull and jaw. We report on a clinical case of an 81-year-old male patient who presented with a tumefaction in the mandibular symphysis region, which had evolved over the previous seven months. In the radiographic examination, an extensive osteolytic lesion was observed in the region mentioned above. An incisional biopsy was performed and a histopathological study revealed a malignant hematopoietic neoplasm formed by plasmacytoid cells. During the bone gammagraphy a dissemination of the disease was detected in the scapula, clavicle and ribs. The diagnosis was multiple myeloma. Knowledge about the maxillofacial manifestations of multiple myeloma is important for the early diagnosis of the disease, since its primary form can manifest itself in the jaw. In the clinical case presented here, we highlight the interdisciplinarity needed to obtain a diagnosis and treatment of multiple myeloma

Effectiveness of a primary care-based intervention to reduce sitting time in overweight and obese patients (SEDESTACTIV): a randomized controlled trial; rationale and study design

Background: There is growing evidence suggesting that prolonged sitting has negative effects on people's weight, chronic diseases and mortality. Interventions to reduce sedentary time can be an effective strategy to increase daily energy expenditure. The purpose of this study is to evaluate the effectiveness of a six-month primary care intervention to reduce daily of sitting time in overweight and mild obese sedentary patients. Method/Design: The study is a randomized controlled trial (RCT). Professionals from thirteen primary health care centers (PHC) will randomly invite to participate mild obese or overweight patients of both gender, aged between 25 and 65 years old, who spend 6 hours at least daily sitting. A total of 232 subjects will be randomly allocated to an intervention (IG) and control group (CG) (116 individuals each group). In addition, 50 subjects with fibromyalgia will be included. Primary outcome is: (1) sitting time using the activPAL device and the Marshall questionnaire. The following parameters will be also assessed: (2) sitting time in work place (Occupational Sitting and Physical Activity Questionnaire), (3) health-related quality of life (EQ-5D), (4) evolution of stage of change (Prochaska and DiClemente's Stages of Change Model), (5) physical inactivity (catalan version of Brief Physical Activity Assessment Tool), (6) number of steps walked (pedometer and activPAL), (7) control based on analysis (triglycerides, total cholesterol, HDL, LDL, glycemia and, glycated haemoglobin in diabetic patients) and (8) blood pressure and anthropometric variables. All parameters will be assessed pre and post intervention and there will be a follow up three, six and twelve months after the intervention. A descriptive analysis of all variables and a multivariate analysis to assess differences among groups will be undertaken. Multivariate analysis will be carried out to assess time changes of dependent variables. All the analysis will be done under the intention to treat principle. Discussion: If the SEDESTACTIV intervention shows its effectiveness in reducing sitting time, health professionals would have a low-cost intervention tool for sedentary overweight and obese patients management.

Sähkön ja lämmön yhteistuotannon optimointi

Työn tavoitteena oli suunnitella ja toteuttaa sähkön ja lämmön yhteistuotantolaitoksen tuotannon optimointi. Optimoinnin kriteerinä on tuotannon kannattavuus. Pyrittiin luomaan optimointimalli, joka ottaa optimoinnissa huomioon erityisesti kaukolämmön kulutusennusteen muutokset sekä sähkön pörssihinnan vaihtelut. Tuotannon kannalta olennaisin kriteeri on kaukolämmön kulutusennusteen pohjalta arvioidun kaukolämpökuorman tyydyttäminen mahdollisimman tehokkaasti ja taloudellisesti. Sähkön tuotannon merkittävimmiksi kriteereiksi muodostuivat sähkön tuotannon ennustettavuus ja tuotannon maksimointi sähkön pörssihinnan asettamissa puitteissa. Optimointiohjelmaa ei ole tarkoitus kytkeä suoraan voimalaitoksen ajojärjestelmään, vaan siitä on tarkoitus tulla erillinen ajosuunnittelijan työkalu. Itse ajosuunnitteluun vaikuttaa usein monipuolisemmat suunnittelukriteerit kuin pelkästään tuotannon tuottavuus. Näiden eri kriteerien painotuksia ei ohjelmassa huomioida, vaan ne päättää ajosuunnittelija. Tuloksena saatiin aikaan optimointiohjelma, joka laskee valittujen tuotantovaihtoehtojen kokonaistuotot eri kaukolämmön kulutusennusteiden ja sähkön pörssihintaennusteiden pohjalta.

Risk Prediction Scores for Recurrence and Progression of Non-Muscle Invasive Bladder Cancer: An International Validation in Primary Tumours

Abstract Objective: We aimed to determine the validity of two risk scores for patients with non-muscle invasive bladder cancer in different European settings, in patients with primary tumours. Methods: We included 1,892 patients with primary stage Ta or T1 non-muscle invasive bladder cancer who underwent a transurethral resection in Spain (n = 973), the Netherlands (n = 639), or Denmark (n = 280). We evaluated recurrence-free survival and progression-free survival according to the European Organisation for Research and Treatment of Cancer (EORTC) and the Spanish Urological Club for Oncological Treatment (CUETO) risk scores for each patient and used the concordance index (c-index) to indicate discriminative ability. Results: The 3 cohorts were comparable according to age and sex, but patients from Denmark had a larger proportion of patients with the high stage and grade at diagnosis (p,0.01). At least one recurrence occurred in 839 (44%) patients and 258 (14%) patients had a progression during a median follow-up of 74 months. Patients from Denmark had the highest 10- year recurrence and progression rates (75% and 24%, respectively), whereas patients from Spain had the lowest rates (34% and 10%, respectively). The EORTC and CUETO risk scores both predicted progression better than recurrence with c-indices ranging from 0.72 to 0.82 while for recurrence, those ranged from 0.55 to 0.61. Conclusion: The EORTC and CUETO risk scores can reasonably predict progression, while prediction of recurrence is more difficult. New prognostic markers are needed to better predict recurrence of tumours in primary non-muscle invasive bladder cancer patients.

Quality of Disease Management and Risk of Mortality in English Primary Care Practices

OBJECTIVE: To investigate whether better management of chronic conditions by family practices reduces mortality risk. DATA: Two random samples of 5 million patients registered with over 8,000 English family practices followed up for 4 years (2004/5-2007/8). Measures of the quality of disease management for 10 conditions were constructed for each family practice for each year. The outcome measure was an indicator taking the value 1 if the patient died during a specified year, 0 otherwise. STUDY DESIGN: Cross-section and multilevel panel data multiple logistic regressions were estimated. Covariates included age, gender, morbidity, hospitalizations, attributed socio-economic characteristics, and local health care supply measures. PRINCIPAL FINDINGS: Although a composite measure of the quality of disease management for all 10 conditions was significantly associated with lower mortality, only the quality of stroke care was significant when all 10 quality measures were entered in the regression. CONCLUSIONS: The panel data results suggest that a 1 percent improvement in the quality of stroke care could reduce the annual number of deaths in England by 782 [95 percent CI: 423, 1140]. A longer study period may be necessary to detect any mortality impact of better management of other conditions.

A Method for Estimating Short-term Profitability, Case Stora Enso Packaging Boards

Tutkimuksen tavoitteena oli rakentaa case yritykselle malli lyhyen aikavälin kannattavuuden estimointia varten. Tutkimusmetodi on konstruktiivinen, ja malli kehitettiin laskentaihmisten avustuksella. Teoriaosassa käytiin kirjallisuuskatsauksen avulla läpi kannattavuutta, budjetointia sekä itse ennustamista. Teoriaosassa pyrittiin löytämään sellaisia menetelmiä, joita voitaisiin käyttää lyhyen aikavälin kannattavuuden estimoinnissa. Rakennettavalle mallille asetettujen vaatimusten mukaan menetelmäksi valittiin harkintaan perustuva menetelmä (judgmental). Tutkimuksen mukaan kannattavuuteen vaikuttaa myyntihinta ja –määrä, tuotanto, raaka-aineiden hinnat ja varaston muutos. Rakennettu malli toimii kohdeyrityksessä kohtalaisen hyvin ja huomattavaa on se, että eri tehtaiden ja eri koneiden väliset erot saattavat olla kohtuullisen suuret. Nämä erot johtuvat pääasiassa tehtaan koosta ja mallien erilaisuudesta. Mallin käytännön toimivuus tulee kuitenkin parhaiten selville silloin, kun se on laskentaihmisten käytössä. Ennustamiseen liittyy kuitenkin aina omat ongelmansa ja uudetkaan menetelmät eivät välttämättä poista näitä ongelmia.

Establishment of a Representative Practice-based Research Network (PBRN) for the Monitoring of Primary Care in Switzerland.

Data are urgently needed to better understand processes of care in Swiss primary care (PC). A total of 2027 PC physicians, stratified by canton, were invited to participate in the Swiss Primary care Active Monitoring network, of whom 200 accepted to join. There were no significant differences between participants and a random sample drawn from the same physician databases based on sex, year of obtaining medical school diploma, or location. The Swiss Primary care Active Monitoring network represents the first large-scale, nationally representative practice-based research network in Switzerland and will provide a unique opportunity to better understand the functioning of Swiss PC.

Control of hair cell excitability by vestibular primary sensory neurons.

In the rat utricle, synaptic contacts between hair cells and the nerve fibers arising from the vestibular primary neurons form during the first week after birth. During that period, the sodium-based excitability that characterizes neonate utricle sensory cells is switched off. To investigate whether the establishment of synaptic contacts was responsible for the modulation of the hair cell excitability, we used an organotypic culture of rat utricle in which the setting of synapses was prevented. Under this condition, the voltage-gated sodium current and the underlying action potentials persisted in a large proportion of nonafferented hair cells. We then studied whether impairment of nerve terminals in the utricle of adult rats may also affect hair cell excitability. We induced selective and transient damages of afferent terminals using glutamate excitotoxicity in vivo. The efficiency of the excitotoxic injury was attested by selective swellings of the terminals and underlying altered vestibular behavior. Under this condition, the sodium-based excitability transiently recovered in hair cells. These results indicate that the modulation of hair cell excitability depends on the state of the afferent terminals. In adult utricle hair cells, this property may be essential to set the conditions required for restoration of the sensory network after damage. This is achieved via re-expression of a biological process that occurs during synaptogenesis.

The Aldosterone/Renin Ratio as a Diagnostic Tool for the Diagnosis of Primary Hypoaldosteronism in Newborns and Infants.

BACKGROUND/AIMS: Primary hypoaldosteronism is a rare inborn disorder with life-threatening symptoms in newborns and infants due to an aldosterone synthase defect. Diagnosis is often difficult as the plasma aldosterone concentration (PAC) can remain within the normal range and thus lead to misinterpretation and delayed initiation of life-saving therapy. We aimed to test the eligibility of the PAC/plasma renin concentration (PRC) ratio as a tool for the diagnosis of primary hypoaldosteronism in newborns and infants. Meth ods: Data of 9 patients aged 15 days to 12 months at the time of diagnosis were collected. The diagnosis of primary hypoaldosteronism was based on clinical and laboratory findings over a period of 12 years in 3 different centers in Switzerland. To enable a valid comparison, the values of PAC and PRC were correlated to reference methods. RESULTS: In 6 patients, the PAC/PRC ratio could be determined and showed constantly decreased values <1 (pmol/l)/(mU/l). In 2 patients, renin was noted as plasma renin activity (PRA). PAC/PRA ratios were also clearly decreased. The diagnosis was subsequently genetically confirmed in 8 patients. CONCLUSION: A PAC/PRC ratio <1 pmol/mU and a PAC/PRA ratio <28 (pmol/l)/(ng/ml × h) are reliable tools to identify primary hypoaldosteronism in newborns and infants and help to diagnose this life-threatening disease faster. © 2015 S. Karger AG, Basel.

Primary care in Switzerland: evolution of physicians' profile and activities in twenty years (1993-2012).

BACKGROUND: According to the Organization for Economic Cooperation and Development, the Swiss healthcare system is one of the most effective in the world. Yet, as other occidental countries, it has to face the increase of chronic diseases frequency and its resulting cost, particularly for primary care (PC). However very few consistent data are available to describe PC features and its evolution over time. The aim of this study is to describe the evolution of the Swiss PC physicians' (PCPs) profile and activities between 1993 and 2012. METHODS: The date come from two independent European surveys carried out in Switzerland respectively in 1993 and 2012. Both surveys were cross-sectional ones and based on representative samples of 200 PCPs, interviewed by questionnaire. RESULTS: In 20 years, PCPs became older (median age 46 vs 56, p < 0.001) and more feminized (7 % vs 22 %, p < 0.001). Nowadays, they more often work in group practices (28 % vs 52 % in 2012, p < 0.001) and are more involved in other paid activities (28 % vs 66 % in 2012, p < 0.001). All the PCPs have a computer in 2012 (78 % in 1993, p < 0.001) and it is mostly used for keeping records of consultations (47 %). The number of daily face-to-face contacts with patients decreased from 31 to 24 but the average length rose from 15 to 20 min (p < 0.001). PCPs provide fewer pediatric and gynecological services but their activity remains globally unchanged in other domains. The frequency of meetings with other disciplines decreased significantly (e.g. once/month face-to-face meets with ambulatory specialists: 78 % vs 23 % in 2012, p < 0.001). The involvement of PCPs in follow-up and treatment of chronic disease globally little differed. In 2012, 8.5 % of the PCPs never performed any chirurgical acts (vs 0 % in 1993, p < 0.001). CONCLUSION: This study showed a substantial evolution of Swiss PC over the last twenty years in terms of socio-demographic, organizational and service provided. The main changes include: feminization and ageing, lower diversity in services provided, fewer but longer consultations. These changes may have important implications for patients' management and will need to be considered for health planning purposes.

Patterns of primary growth increments in otoliths of Sparus aurata larvae in relation to water temperature and food consumption

Sparus aurata larvae reared under controlled water-temperature conditions during the first 24 days after hatching displayed a linear relationship between age (t) and standard length (SL): SL = 2.68 + 0.19 t (r2 = 0.91l). Increments were laid down in the sagittae with daily periodicity starting on day of hatching. Standard length (SL) and sagittae radius (OR) were correlated: SL(mm) = 2.65 + 0.012 OR(mm). The series of measurements of daily growth increment widths (DWI), food density and water temperature were analyzed by means of time series analysis. The DWI series were strongly autocorrelated, the growth on any one day was dependent upon growth on the previous day. Time series of water temperatures showed, as expected, a random pattern of variation, while food consumed daily was a function of food consumed the two previous days. The DWI series and the food density were correlated positively at lags 1 and 2. The results provided evidence of the importance of food intake upon the sagittae growth when temperature is optimal (20ºC). Sagittae growth was correlated with growth on the previous day, so this should be taken into account when fish growth is derived from sagittae growth rates.

Revising customer profitability measurement in a paper industry company

Tämän tutkimuksen tavoitteena oli selvittää, pitäisikö trimmihävikin kustannukset lisätä case yrityksen asiakaskannattavuuslaskelmaan. Trimmihävikin vaihtelua asiakkaiden välillä tutkittiin yhdellä case yrityksen tuotantolinjalla. Myös tilaustekijöiden sekä ajankohdan vaikutusta trimmihävikin määrään selvitettiin. Teoreettinen viitekehys rakennettiin asiakaskannattavuuden ja asiakassuhteiden johtamisen ympärille. Tutkimuksen empiirisessä osassa hyödynnettiin kvantitatiivista tutkimusmenetelmää ja tilastollisissa analyyseissä käytettiin laajaa aineistoa. Tulokset osoittivat, että trimmihävikin määrä vaihteli asiakkaiden kesken. Asiakkaista muodostettiin kolme klusteria. Näiden klustereiden tarkempi tutkiminen osoitti selvän yhteyden asiakkaan ostokäyttäytymisen ja trimmihävikin välillä. Lopuksi tutkimuksen tulosten hyödyntämismahdollisuuksia pohdittiin ja myös tutkimuksen rajoitukset tunnistettiin.