Kansanterveystiede

Kansanterveystieteen pääkokoelma sijaitsee Terveystieteiden osastokirjastossa, jossa painettu yleiskokoelma koostuu 970 nimekkeestä monografioita (painettujen monografiasarjojen osat mukana luvussa). Kansanterveystieteen kokoelmasta 18 % (175) käsittelee tilastoja; näistä teoria- ja menetelmäkirjallisuutta on noin 13 % (122). Yleisteoksien osuus kokoelmasta on vajaa 14 % (130). Muita kokoelman keskeisiä alueita ovat mm. työterveys (12 % / 117), terveydenhuollon hallinto (13 % / 125), eri väestöryhmien terveysongelmat (8 % / 81), terveyskasvatus (9 % / 84) sekä sosiaalilääketiede (4 % / 44). Kansanterveystiede on käsikirjaston hyllyluokittelussa osana lääketiedettä. Kansanterveystieteen nimekkeitä on käsikirjaston kokoelmasta 17 kappaletta, joista pääosa sanakirjoja (8 kpl) ja tilastoja (6 kpl). Painettuja lehtiä on 8 nimekettä (Environment and Health, Journal of Public Mental Health, Kansanterveys, Promo: Terveyden edistämisen lehti, Scandinavian Journal of Work, Salud publica de Mexico, Työ ja ihminen, Työ terveys turvallisuus). Sähkökirjoja kokoelmassa on noin 450 nimekettä Ebrary-tietokannassa, Netlibraryssa 8 nimekettä ja Taylor & Francis –tietokannassa 1 nimeke ja elektronisia sanastoja 4 (FinMESH, Medical Subject Headings (MeSH), Sosiaali- ja terveydenhuollon sanastoja (STAKES), Swedish MeSH). Verkkolehtiä kokoelmassa on 400 nimekettä, joista 35 % vapaasti käytettävissä verkossa. ISI Web of Knowledge Journal Citation Reports –tietokannan listaamista alan keskeisistä 98 nimekkeestä kokoelmissa on 78 % (76 nimekettä). Lehdistä, joiden IF-arvo on suurempi kuin 2, oli kokoelmissa 88 % (30 / 34). IF -välillä 1-1.99 vastaava luku oli 84 % (32 / 38) ja välillä 0–0.99 54 % (14 / 26). Tietokantoja on 36; mm. lehtitietokanta ScienceDirect ja viitetietokantoja mm. EBM Reviews: Cochrane Database of Systematic Reviews, LEO, Medic, Medline (Ovid), Science Citation Index Expanded (ISI), Social Sciences Citation Index (ISI), Tyki.

Tratamiento de una bifurcación vertebral-subclavia. «La técnica del anillo de bodas» para una reestenosis intrastent asociada a fractura del stent

This report describes a solution for a restenosis and for the fracture of a stent in the vertebral artery in a patient suffering from vertebrobasilar symptoms. Angiography demonstrates restenosis of a vertebral stent as well as its fracture and migration into the subclavian artery. This complication was managed percutaneously by passing a guide wire through the fractured stent. Pre-dilatation and kissing balloon techniques were applied in both the vertebral and subclavian arteries to modify the stent's dimensions and shape it into the form of a "ring." Postprocedural angiography demonstrated an excellent final result with the assistance of StentBoost visualization. Control angiography at six months also utilized StentBoost imaging and confirmed the patency of the bifurcation and that the stent was not displaced.

Right ventricular rupture due to recurrent mediastinal infection with a closed chest.

Right ventricular (RV) rupture in cases of mediastinitis following cardiac surgery is a rare and dangerous complication. Bleeding from the right ventricle occurs mainly after sternal reopening, due to either iatrogenic manipulation (wire removal, lesions due to wiring maneuvers) or mechanical shearing forces, producing direct injury. We present a case of RV wall perforation due to infection in a recurrent postoperative mediastinitis with a closed chest. The current literature on treatment of postoperative mediastinitis is also reviewed.

Mycoplasma hominis mediastinitis after acute aortic dissection repair.

We report a case of ascending aortic graft infection by an atypical bacteria, Mycoplasma hominis, with mediastinitis, a dreaded complication after cardiac surgery. A 55-year-old patient underwent ascending aorta replacement for acute type A dissection. He developed sternal instability and purulent discharge, requiring sternal wire removal and debridement. Cultures were initially sterile, but showed M. hominis infection after a significant delay and in specific culture media. The patient was treated with doxycycline and moxifloxacine. Cultures became negative and the sternum was closed on the 28th postoperative day after the first debridement. Recovery was favorable, with no signs of infection. Antibiotics were continued for one year. The patient is still asymptomatic 16 months after antibiotic interruption. Atypical organisms should be considered in the differential diagnosis of acute mediastinitis of unknown etiology after routine microbiological investigations.

Hylynkäsittelyn ja annostelun vaikutus kartongin laatuun

Tämän työn tavoitteena oli löytää keinot taivekartongin riittävän z-suuntaisen lujuuden saavuttamiseksi tilanteessa, jossa runkokerrokseen annosteltavan hylyn määrää joudutaan pysyvästi vähentämään. Työn kirjallisuusosassa selvitettiin taivekartongin tärkeimmät ominaisuudet, joista tarkemmin tarkasteltiin palstautumislujuutta ja siihen vaikuttavia tekijöitä. Lisäksi käytiin läpi palstautumislujuuden mittausmenetelmät. Merkittävimpiä teoriaosassa käsiteltyjä palstautumislujuuteen vaikuttavia tekijöitä olivat massojen käsittely ja annostelu, kuivalujalisäaineiden käyttö sekä rainanmuodostus. Hylyn annosteluosuuden pienentäminen vähensi taivekartongin paksuussuuntaista lujuutta ja runkomassan vedenpoistovastusta, mutta samanaikaisesti lisääntyivät kartongin paksuus ja taivutusjäykkyys. Hylyn vähäisemmän käytön seurauksena menetettyä lujuutta ei pystytty palauttamaan hylyn jauhatuksen määrää lisäämällä, eikä kartonkikoneen runkoviiraosan vedenpoistoon vaikuttamalla. Kun hylyn annosteluosuus laskettiin 20 %:in, saavutettiin runkokerroksen riittävä lujuus ainoastaan runkomassan pääkomponenttina käytettävän hiokemassaseoksen jauhatusastetta nostamalla tai korvaamalla pieni osa hiokkeesta hyvin hienoksi jauhetulla mäntysellulla. Hiokkeen freeness oli laskettava tasolta 300 ml CSF tasolle 250 ml CSF. Vastaavasti mäntysellu oli jauhettava hyvin pitkälle (°SR 74) tai annosteluosuuden oli oltava vähintään 2 %, jolloin jauhatusaste °SR 49 oli riittävä. Vähäisemmällä hylyn käytöllä saavutettu etu vedenpoistossa saatettaisiin menettää näiden toimenpiteiden vaikutuksesta.

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.

Metodologia para o crescimento de esferas monocristalinas de metais nobres

This paper describes in detail a technique employed to grow quasi-spherical single crystals of noble metals for electrochemical applications, using platinum as an example. The metal beads were formed by melting the extremity of a wire in an oxygen / butane flame. X-ray techniques were used to check the crystallization and to determine the orientation of the crystals. Treatment with a pure hydrogen flame followed by a cooling procedure in a hydrogen / argon atmosphere were used for conditioning the well-defined platinum single crystal surfaces. Finally, electrochemical characterization of the Pt(111), Pt(110) and Pt(100) surfaces was done in diluted sulfuric acid solution in the hydrogen adsorption / desorption potential region.

Outer membrane vesicles from cold-adapted antarctic bacteria

Many Gram-negative, cold-adapted bacteria from the Antarctic environment produce large amounts of extracellular matter with potential biotechnological applications. Transmission electron microscopy (TEM) analysis after high-pressure freezing and freeze substitution (HPF-FS) showed that this extracellular matter is structurally complex, appearing around cells as a netlike mesh, and composed of an exopolymeric substance (EPS) containing large numbers of outer membrane vesicles (OMVs). Isolation, purification and protein profiling via 1D SDS-PAGE confirmed the outer membrane origin of these Antarctic bacteria OMVs. In an initial attempt to elucidate the role of OMVs in cold-adapted strains of Gram-negative bacteria, a proteomic analysis demonstrated that they were highly enriched in outer membrane proteins and periplasmic proteins associated with nutrient processing and transport, suggesting that the OMVs may be involved in nutrient sensing and bacterial survival. OMVs from Gram-negative bacteria are known to play a role in lateral DNA transfer, but the presence of DNA in these vesicles has remained difficult to explain. A structural study of Shewanella vesiculosa M7T using TEM and Cryo-TEM revealed that this Antarctic Gram-negative bacterium naturally releases conventional one-bilayer OMVs, together with a more complex type of OMV, previously undescribed, which on formation drags along inner membrane and cytoplasmic content and can therefore also entrap DNA.

Technological solution for the automatic replacement of the catalytic filaments in HWCVD

The degradation of the catalytic filaments is the main factor limiting the industrial implementation of the hot wire chemical vapor deposition (HWCVD) technique. Up to now, no solution has been found to protect the catalytic filaments used in HWCVD without compromising their catalytic activity. Probably, the definitive solution relies on the automatic replacement of the catalytic filaments. In this work, the results of the validation tests of a new apparatus for the automatic replacement of the catalytic filaments are reported. The functionalities of the different parts have been validated using a 0.2 mm diameter tungsten filament under uc-Si:H deposition conditions.

Taajuusmuttajan vanheneminen syklisissä käytöissä

Tässä työssä tarkastellaan taajuusmuuttajan vanhenemista syklisissä käytöissä puolijohdetehokomponenttien osalta. Laitteiden vikaantumisprosessien analysoimiseksi työssä suunnitellaan syklinen kestotestausjärjestelmä, joka mahdollistaa useamman taajuusmuuttajan yhtäaikaisen vanhentamisen. Jaksottaisesti toistuvat kuormitussyklit rasittavat termomekaanisesti taajuusmuuttajan tehomoduulin sisäisiä rakenteita suurten lämpötilavaihtelujen johdosta. Teoriaosuuden pääpaino kohdistuu puolijohdetehokomponenttien rakenteeseen, vikaantumisprosesseihin ja eliniän kartoittamiseen. Työssä käydään läpi yleisimpien pienijännitteisten moottorinohjausinverttereiden tehomoduulien mekaaniset rakenteet, tyypillisemmät syklisestä kuormituksesta johtuvat vikaantumisprosessit sekä puolijohdetehokomponenttivalmistajien käyttämät syklisen eliniän testausmenetelmät. Loppuosassa työtä suunnitellaan taajuusmuuttajan syklinen kestotestausjärjestelmä laitteiden keinotekoista vanhentamista varten. Testausjärjestelmällä voidaan kuormittaa useampaa taajuusmuuttajaa vuorottain mielivaltaisella kuormitusvirtaprofiililla. Laitteita vanhennettiin kaksi testierää kuormittamalla niitä jaksottaisesti hissikäytön tyypillisellä kuormitusprofiililla. Puolijohdetehokomponentin vanhenemisen edistystä seurattiin termisen impedanssiketjun mittausmenetelmällä, joka perustuu IGBT:n kollektoriemitterijännitteen lämpötilariippuvuuteen. Testilaitteiden puolijohdetehokomponentit hajosivat syklisen eliniän päättymiseen teoriassa esitettyjen vikaantumisprosessien seurauksesta. Tehomoduulien vika-analyysi osoittaa syklisen kestotestausjärjestelmän soveltuvaksi menetelmäksi tutkia erilaisten kuormitusprofiilien vaikutusta taajuusmuuttajan vanhenemiseen.

Outer membrane vesicles from cold-adapted antarctic bacteria

Many Gram-negative, cold-adapted bacteria from the Antarctic environment produce large amounts of extracellular matter with potential biotechnological applications. Transmission electron microscopy (TEM) analysis after high-pressure freezing and freeze substitution (HPF-FS) showed that this extracellular matter is structurally complex, appearing around cells as a netlike mesh, and composed of an exopolymeric substance (EPS) containing large numbers of outer membrane vesicles (OMVs). Isolation, purification and protein profiling via 1D SDS-PAGE confirmed the outer membrane origin of these Antarctic bacteria OMVs. In an initial attempt to elucidate the role of OMVs in cold-adapted strains of Gram-negative bacteria, a proteomic analysis demonstrated that they were highly enriched in outer membrane proteins and periplasmic proteins associated with nutrient processing and transport, suggesting that the OMVs may be involved in nutrient sensing and bacterial survival. OMVs from Gram-negative bacteria are known to play a role in lateral DNA transfer, but the presence of DNA in these vesicles has remained difficult to explain. A structural study of Shewanella vesiculosa M7T using TEM and Cryo-TEM revealed that this Antarctic Gram-negative bacterium naturally releases conventional one-bilayer OMVs, together with a more complex type of OMV, previously undescribed, which on formation drags along inner membrane and cytoplasmic content and can therefore also entrap DNA.

Impact of unsymmetrical loads in distribution networks

Since it is virtually impossible to balance loads in three-phase system, unbalance in a varying degree exists almost in all distribution networks. The aim of the thesis is to analyze the impact of this unbalance subject to different configurations of distribution system and winding connection of the supplying transformer. Also impact of the voltage unbalance on the equipment is investigated. In order to make the investigation more visual, the following calculations have been conducted: - Unsymmetrical load in four-wire star connected network - Unsymmetrical load in four-wire star connected network with broken zero conductor (or three-wire network). - Unsymmetrical load when the supplying transformer is so-called zigzag transformer. PDF created

Crustacean and aquatic insect assemblages in the Mediterranean coastal ecosystems of Empord`a wetlands (NE Iberian peninsula)

Coastal wetlands are characterized by high biodiversity, which is one of the main criteria considered when establishing protection policies or when proposing adequate management actions. In this study, the crustacean and aquatic insect composition of the Empord`a wetlands is described. These two faunal groups contribute highly to the total biodiversity in these wetlands but are seldom considered when managing natural areas. A selection (84 sampling points) of all water body types present in the Empord`a wetlands were sampled monthly (surber and dip net with a 250 μm mesh). Sampling was carried out during 3 surveys (1991-92, 1996-97 and 1999-2000). A rich fauna of 125 crustacean and 295 aquatic insect taxa was identified. We characterized each water body type using the most abundant species and the relative species richness of the taxonomic groups. A classification of the water body types, according to similarity between inventories, groups the brackish and hyperhaline systems in one cluster and the various freshwater systems in another one. Among freshwater systems, lotic waters and freshwater wetlands have a high similarity, whereas rice fields and freshwater springs have a low similarity

Vaahdonestokemikaalin syöttötapahtuman tehostamisen vaikutus märkäosan toimintaan

An improved defoamer dosage procedure and a more efficient dosing point to the approach system were studied in this thesis. Their influence on paper machine wet end operations was investigated. The improved defoamer dosing procedure was examined at UMP-Kymmene Tervasaari PM8. Air content and its controlling methods at the paper machine were studied in the literature survey. Also the influence of dissolved gases and entrained air in the papermaking furnish were introduced. Feeding methods – a TrumpJet chemical mixer and traditional feeding devices – were reviewed. The defoamer’s functioning methods were studied. The influence of the use of defoamers was estimated based on the main selected wet end operations. In the experimental part, defoamer mixing with a traditional feeding method and two improved mixing stages were compared based on the air content profiles in PM8’s approach system. The reference dosage procedure was PM8’s old dosing system. The first dosage procedure in the comparison involved two TrumpJet chemical mixers installed on the bottom wire trays. The second element of comparison involved the improvement brought by a third TrumpJet chemical mixer installed on the top wire tray. This second comparison of the efficient defoamer feeding concept was made at a higher production speed of PM8. The air content control situation was also studied at the higher production speed. In addition the connection between the defoamer and air content was observed and a mill-scale system was studied. The economical benefits of the new dosing procedure were also reviewed. Air content profiles of short circulation were measured in the reference situation and the two comparison points of the study. These air content measurements proved the main gas load is introduced to PM8's paper furnish from the white water tray. Thick stock air content was not essential when the air volume flow was considered. The improved defoamer dosing procedure made lower dosage amounts possible. Compared with the traditional feeding system, the new defoamer feeding concept made only few direct improvements to the wet end operations and the produced paper itself. The lower defoamer need was noticed to have a positive influence on hydrophobic sizing and paper defects. The surfaces of the white water tanks and the operation of pumps were assessed based on the density variations of the suspension. The temperature in the white water silo was stated to have a significant influence on the air content measured in the first centrifugal cleaning stage.

Welding of Sheet metal using Modified short arc MIG/MAG welding process

In this research work, the results of an investigation dealing with welding of sheet metals with diverse air gap using FastROOT modified short arc welding method and short circuit MAG welding processes have been presented. Welding runs were made under different conditions and, during each run, the different process parameters were continuously monitored. It was found that maximum welding speed and less HAZ are reached under specific welding conditions with FastROOT method with the emphasis on arc stability. Welding results show that modified short arc exhibits a higher electrode melting coefficient and with virtually spatter free droplet transition. By adjusting the short circuit duration the penetration can be controlled with only a small change in electrode deposition. Furthermore, by mixing pulsed MIG welding with modified arc welding the working envelope of the process is greatly extended allowing thicker material sections to be welded with improved weld bead aesthetics. FastROOT is a modified short arc welding process using mechanized or automated welding process based on dip transfer welding, characterized by controlled material deposition during the short circuit of the wire electrode to the workpiece.