Stroke Thrombolysis in a Centralized and a Decentralized System (Helsinki and Telemedical Project for Integrative Stroke Care Network).

PubMed

Hubert, Gordian J; Meretoja, Atte; Audebert, Heinrich J; Tatlisumak, Turgut; Zeman, Florian; Boy, Sandra; Haberl, Roman L; Kaste, Markku; Müller-Barna, Peter

2016-12-01

Intravenous thrombolysis with tissue-type plasminogen activator (tPA) for acute ischemic stroke is more effective when delivered early. Timely delivery is challenging particularly in rural areas with long distances. We compared delays and treatment rates of a large, decentralized telemedicine-based system and a well-organized, large, centralized single-hospital system. We analyzed the centralized system of the Helsinki University Central Hospital (Helsinki and Province of Uusimaa, Finland, 1.56 million inhabitants, 9096 km 2 ) and the decentralized TeleStroke Unit network in a predominantly rural area (Telemedical Project for Integrative Stroke Care [TEMPiS], South-East Bavaria, Germany, 1.94 million inhabitants, 14 992 km 2 ). All consecutive tPA treatments were prospectively registered. We compared tPA rates per total ischemic stroke admissions in the Helsinki and TEMPiS catchment areas. For delay comparisons, we excluded patients with basilar artery occlusions, in-hospital strokes, and those being treated after 270 minutes. From January 1, 2011, to December 31, 2013, 912 patients received tPA in Helsinki University Central Hospital and 1779 in TEMPiS hospitals. Area-based tPA rates were equal (13.0% of 7017 ischemic strokes in the Helsinki University Central Hospital area versus 13.3% of 14 637 ischemic strokes in the TEMPiS area; P=0.078). Median prehospital delays were longer (88; interquartile range, 60-135 versus 65; 48-101 minutes; P<0.001) but in-hospital delays were shorter (18; interquartile range, 13-30 versus 39; 26-56 minutes; P<0.001) in Helsinki University Central Hospital compared with TEMPiS with no difference in overall delays (117; interquartile range, 81-168 versus 115; 87-155 minutes; P=0.45). A decentralized telestroke thrombolysis service can achieve similar treatment rates and time delays for a rural population as a centralized system can achieve for an urban population. © 2016 American Heart Association, Inc.

The effects of a three-year smoking prevention programme in secondary schools in Helsinki.

PubMed

Vartiainen, Erkki; Pennanen, Marjaana; Haukkala, Ari; Dijk, Froukje; Lehtovuori, Riku; De Vries, Hein

2007-06-01

This study evaluates the effects of a 3-year smoking prevention programme in secondary schools in Helsinki. The study is part of the European Smoking prevention Framework Approach (ESFA), in which Denmark, Finland, the Netherlands, Portugal, Spain and the UK participated. A total of 27 secondary schools in Finland participated in the programme (n = 1821). Schools were randomised into experimental (13) and control groups (14). The programme included 14 information lessons about smoking and refusal skills training. The 3-year smoking prevention programme was also integrated into the standard curriculum. The community-element of the programme included parents, parish confirmation camps and dentists. The schools in the experimental group received the prevention programme and the schools in the control group received the standard health education curriculum. Among baseline never smokers (60.8%), the programme had a significant effect on the onset of weekly smoking in the experimental group [OR = 0.63 (0.45-0.90) P = 0.009] when compared with the control group. Being female, doing poorly at school, having parents and best friends who smoke and more pocket money to spend compared with others were associated with an increased likelihood of daily and weekly smoking onset. These predictors did not have an interaction effect with the experimental condition. This study shows that a school- and community-based smoking prevention programme can prevent smoking onset among adolescents.

Neighbourhoods and self rated health: a comparison of public sector employees in London and Helsinki

PubMed Central

Stafford, M.; Martikainen, P.; Lahelma, E.; Marmot, M.

2004-01-01

Study objective: Mortality and morbidity vary across neighbourhoods and larger residential areas. Effects of area deprivation on health may vary across countries, because of greater spatial separation of people occupying high and low socioeconomic positions and differences in the provision of local services and facilities. Neighbourhood variations in health and the contribution of residents' characteristics and neighbourhood indicators were compared in London and Helsinki, two settings where inequality and welfare policies differ. Design: Data from two cohorts were used to investigate associations between self rated health and neighbourhood indicators using a multilevel approach. Setting: London and Helsinki. Participants: From the Whitehall II study (London, aged 39–63) and the Helsinki health study (aged 40–60). Main results: Socioeconomic segregation was higher in London than in Helsinki. Age and sex adjusted differences in self rated health between neighbourhoods were also greater in London. Independent of individual socioeconomic position, neighbourhood unemployment, proportion of residents in manual occupations, and proportion of single households were associated with health. In pooled data, residence in a neighbourhood with highest unemployment was associated with an odds ratio of less than good self rated health of 1.51 (95% CI 1.30 to 1.75). High rates of single parenthood were associated with health in London but not in Helsinki. Conclusions: Neighbourhood socioeconomic context was associated with health in both countries, with some evidence of greater neighbourhood effects in London. Greater socioeconomic segregation in London may have emergent effects at the neighbourhood level. Local and national social policies may reduce, or restrict, inequality and segregation between areas. PMID:15310804

Changing environments or shifting paradigms? Strategic decision making toward water protection in Helsinki, 1850-2000.

PubMed

Laakkonen, Simo; Laurila, Sari

2007-04-01

The study examines the history of strategic decision-making concerning water protection in Helsinki, 1850-2000. We identified five major strategic decisions that occurred during the study period. The results indicate that strategic decision-making evolves in long-term policy cycles that last on average 20-30 years. New policy cycles are caused by paradigm shifts. Paradigms are shared and predominant ways of understanding reality that help when groups must act to solve common and complex environmental problems. However the internal structure and external dynamics of paradigms are contradictory. Although paradigms serve initially as means to redefine problems and find creative solutions, as time goes by each paradigm seems to become also a barrier that restricts the introduction of new ways of thinking and acting. The power of paradigms lies in the fact that they can be defined as scientific but also social, political, or cultural agreements depending on the context.

3 CFR 8608 - Proclamation 8608 of November 30, 2010. Helsinki Human Rights Day, 2010

Code of Federal Regulations, 2011 CFR

2011-01-01

... institutionalized in the Organization for Security and Cooperation in Europe (OSCE), still serve as a beacon to all... states to reexamine their compliance with their OSCE commitments. The Helsinki Final Act, with its...

Engaging Senior Citizens in Local Education

ERIC Educational Resources Information Center

Geier, Brett A.

2012-01-01

During the past several years, school district personnel have faced an arduous task of convincing a local electorate--including those who are not directly associated with local schools--to increase its own tax rate. Convincing demographic groups that have a vital interest in improving school facilities can be an easier task. Parents who want to…

My Competence, Your Competence, and the Language We Use: The Moderating Effect of Interlocutor Language Constraint in Bilingual Accommodation

ERIC Educational Resources Information Center

Vincze, László; Gasiorek, Jessica

2018-01-01

This paper examines the interactive effects of motives and contextual constraints predicting linguistic convergence with Finnish speakers among a small group of Swedish-speaking Finns. The data were collected among university students in Helsinki (N = 82). A moderated mediation analysis demonstrated the primacy of speakers' competence motive for…

Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service

PubMed Central

2012-01-01

Background Dental general anaesthesia (DGA) is a very efficient treatment modality, but is considered only in the last resort because of the risks posed by general anaesthesia to patients’ overall health. Health services and their treatment policies regarding DGA vary from country to country. The aims of this work were to determine the reasons for DGA in the Helsinki Public Dental Service (PDS) and to assess the role of patient characteristics in the variation in reasons and in the treatments given with special focus on preventive care. Methods The data covered all DGA patients treated in the PDS in Helsinki in 2010. The data were collected from patient documents and included personal background: age (<6, 6–12, 13–17, 18–68), gender, immigration, previous conscious sedation and previous DGA; medical background; reasons for DGA and treatments provided. Chi-square tests, Fisher’s exact test, and logistic regression modelling were employed in the statistical analyses. Results The DGA patients (n=349) were aged 2.3 to 67.2 years. Immigrants predominated in the youngest age group (p<0.001) and medically compromised patients among the adults (p<0.001) relative to the other age groups. The main reason for DGA was extreme non-cooperation (65%) followed by dental fear (37%) and an excessive need for treatment (26%). In total, 3435 treatments were performed under DGA, 57% of which were restorations, 24% tooth extractions, 5% preventive measures, 5% radiography, 4% endodontics and the remaining 5% periodontics, surgical procedures and miscellaneous. The reasons for DGA and the treatments provided varied according to age, immigration, previous sedation and DGA and medical background. The logistic regression model showed that previous sedation (OR 2.3; 95%CI 1.3-4.1; p=0.005) and extreme non-cooperation (OR 1.7; 95%CI 0.9-3.2; p=0.103) were most indicative of preventive measures given. Conclusions Extreme non-cooperation, dental fear and an excessive need for treatment were the main reasons for the use of comprehensive, conservative DGA in the Helsinki PDS. The reasons for the use of DGA and the treatments provided varied according to personal and medical background, and immigration status with no gender-differences. Preventive measures formed only a minor part of the dental care given under DGA. PMID:23102205

Dental care and treatments provided under general anaesthesia in the Helsinki Public Dental Service.

PubMed

Savanheimo, Nora; Sundberg, Sari A; Virtanen, Jorma I; Vehkalahti, Miira M

2012-10-27

Dental general anaesthesia (DGA) is a very efficient treatment modality, but is considered only in the last resort because of the risks posed by general anaesthesia to patients' overall health. Health services and their treatment policies regarding DGA vary from country to country. The aims of this work were to determine the reasons for DGA in the Helsinki Public Dental Service (PDS) and to assess the role of patient characteristics in the variation in reasons and in the treatments given with special focus on preventive care. The data covered all DGA patients treated in the PDS in Helsinki in 2010. The data were collected from patient documents and included personal background: age (<6, 6-12, 13-17, 18-68), gender, immigration, previous conscious sedation and previous DGA; medical background; reasons for DGA and treatments provided. Chi-square tests, Fisher's exact test, and logistic regression modelling were employed in the statistical analyses. The DGA patients (n=349) were aged 2.3 to 67.2 years. Immigrants predominated in the youngest age group (p<0.001) and medically compromised patients among the adults (p<0.001) relative to the other age groups. The main reason for DGA was extreme non-cooperation (65%) followed by dental fear (37%) and an excessive need for treatment (26%). In total, 3435 treatments were performed under DGA, 57% of which were restorations, 24% tooth extractions, 5% preventive measures, 5% radiography, 4% endodontics and the remaining 5% periodontics, surgical procedures and miscellaneous. The reasons for DGA and the treatments provided varied according to age, immigration, previous sedation and DGA and medical background. The logistic regression model showed that previous sedation (OR 2.3; 95%CI 1.3-4.1; p=0.005) and extreme non-cooperation (OR 1.7; 95%CI 0.9-3.2; p=0.103) were most indicative of preventive measures given. Extreme non-cooperation, dental fear and an excessive need for treatment were the main reasons for the use of comprehensive, conservative DGA in the Helsinki PDS. The reasons for the use of DGA and the treatments provided varied according to personal and medical background, and immigration status with no gender-differences. Preventive measures formed only a minor part of the dental care given under DGA.

Urbanity as a determinant of exposure to grass pollen in Helsinki Metropolitan area, Finland.

PubMed

Hugg, Timo T; Hjort, Jan; Antikainen, Harri; Rusanen, Jarmo; Tuokila, Mirkka; Korkonen, Sanna; Weckström, Jan; Jaakkola, Maritta S; Jaakkola, Jouni J K

2017-01-01

Little is known about the levels of exposure to grass pollen in urban environments. We assessed the spatio-temporal variation of grass pollen concentrations and the role of urbanity as a determinant of grass pollen exposure in the Helsinki Metropolitan area. We monitored grass pollen concentrations in 2013 at 16 sites during the peak pollen season by using rotorod-type samplers at the breathing height. The sites were in the cities of Helsinki and Espoo, Finland, and formed city-specific lines that represented urban-rural gradient. The monitoring sites were both visually and based on land use data ranked as high to low (graded 1 to 8) pollen area. The lowest grass pollen concentrations were observed in the most urban sites compared to the least urban sites (mean 3.6 vs. 6.8 grains/m3 in Helsinki; P<0.0001, and 5.2 vs. 87.5 grains/m3 in Espoo; P<0.0001). Significant differences were observed between concentrations measured in morning periods compared to afternoon periods (4.9 vs. 5.4 in Helsinki, P = 0.0186, and 21.8 vs. 67.1 in Espoo, P = 0.0004). The mean pollen concentration increased with decreasing urbanity both in Helsinki (0.59 grains/m3 per urbanity rank, 95% CI 0.25-0.93) and Espoo (8.42, 6.23-10.61). Pollen concentrations were highest in the afternoons and they were related to the ambient temperature. Urbanity was a strong and significant determinant of pollen exposure in two Finnish cities. Pollen exposure can periodically reach such high levels even in the most urban environments that can cause allergic reactions among individuals with allergies.

Urbanity as a determinant of exposure to grass pollen in Helsinki Metropolitan area, Finland

PubMed Central

Hugg, Timo T.; Hjort, Jan; Antikainen, Harri; Rusanen, Jarmo; Tuokila, Mirkka; Korkonen, Sanna; Weckström, Jan; Jaakkola, Maritta S.

2017-01-01

Little is known about the levels of exposure to grass pollen in urban environments. We assessed the spatio-temporal variation of grass pollen concentrations and the role of urbanity as a determinant of grass pollen exposure in the Helsinki Metropolitan area. We monitored grass pollen concentrations in 2013 at 16 sites during the peak pollen season by using rotorod-type samplers at the breathing height. The sites were in the cities of Helsinki and Espoo, Finland, and formed city-specific lines that represented urban-rural gradient. The monitoring sites were both visually and based on land use data ranked as high to low (graded 1 to 8) pollen area. The lowest grass pollen concentrations were observed in the most urban sites compared to the least urban sites (mean 3.6 vs. 6.8 grains/m3 in Helsinki; P<0.0001, and 5.2 vs. 87.5 grains/m3 in Espoo; P<0.0001). Significant differences were observed between concentrations measured in morning periods compared to afternoon periods (4.9 vs. 5.4 in Helsinki, P = 0.0186, and 21.8 vs. 67.1 in Espoo, P = 0.0004). The mean pollen concentration increased with decreasing urbanity both in Helsinki (0.59 grains/m3 per urbanity rank, 95% CI 0.25–0.93) and Espoo (8.42, 6.23–10.61). Pollen concentrations were highest in the afternoons and they were related to the ambient temperature. Urbanity was a strong and significant determinant of pollen exposure in two Finnish cities. Pollen exposure can periodically reach such high levels even in the most urban environments that can cause allergic reactions among individuals with allergies. PMID:29023565

Health promotion by stealth: active transportation success in Helsinki, Finland.

PubMed

Saidla, Karl

2017-02-03

The promotion of active transportation (AT-utilitarian trips including walking, cycling, and public transit use), represents a well-recognized opportunity for increasing physical activity. This study examines the strong AT success achieved in Helsinki, Finland (in 2013, the share of daily trips in Helsinki completed by AT was 77 per cent) from a political perspective. Helsinki represents a noteworthy example of AT success given important challenges including the region's relatively low population density, its difficult winter climate, and Finland's high driving rate. This research applied the advocacy coalition framework (ACF), a formal policy process theory from political science. Interviews were conducted with 23 AT experts in Helsinki. Document review was employed as a secondary method. Overall, the research indicates that Helsinki's success may be attributed to the long-term dominance of municipal transportation policy by a pro-AT advocacy coalition. When viewed from the perspective of health promotion, it is striking that this success is not strongly attributable to health considerations or efforts from health-related fields. Rather, the data suggest that the coalition, comprised of members from a variety of non-health fields, was most strongly motivated by a desire to protect a high degree of livability. Importantly, a number of significant historical events and background-level factors greatly facilitated success. Overall, these results suggest that health promotion advocates may have very useful allies in non-health sectors, and that awareness of the importance of political factors is likely to contribute to stronger health promotion efforts. Finally, several possibilities for related and further research are suggested. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Comments on the 2014 Helsinki Consensus Report on Asbestos.

PubMed

Landrigan, Philip J

2016-01-01

The Finnish Institute of Occupational Health (FIOH) convened an Expert Committee in 2014 to update the 1997 and 2000 Helsinki criteria on asbestos, asbestosis, and cancer. The Collegium Ramazzini reviewed the criteria for pathological diagnosis of the diseases caused by asbestos presented in the 2014 Helsinki Consensus Report and compared them with the widely used diagnostic criteria developed in 1982 by the College of American Pathologists and the National Institutes of Occupational Safety and Health (CAP-NIOSH). The sections of the Helsinki Consensus Report dealing with pathological diagnosis are based on a biased and selective reading of the scientific literature. They are heavily influenced by the outdated and incorrect concept that analysis of lung tissue for asbestos bodies and asbestos fibers can provide accurate information on past exposure to asbestos. Five specific problems are : Accurate diagnosis of the diseases caused by asbestos must be based on a carefully obtained history of occupational exposure. An accurate exposure history is a far more sensitive and specific indicator of asbestos exposure than asbestos body counting or lung fiber burden analysis. The sections of the 2014 Helsinki Consensus Report on asbestos, asbestosis, and cancer dealing with pathologic diagnosis of the diseases caused by asbestos appear to have been influenced by members of the Expert Committee with undisclosed financial conflicts of interest. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Development of a Model-Based Systems Engineering Application for the Ground Vehicle Robotics Sustainment Industrial Base

DTIC Science & Technology

2013-02-04

Ground Vehicle Systems Engineering Technology Symposium HC Human Capital HIIT Helsinki Institute of Information Technology UNCLASSIFIED vii...Technology (TKK), and the Helsinki Institute of Information Technology ( HIIT ), the report introduced the concept and the state-of-the-art in the market

Can tics be performed convincingly by an actor?

PubMed

Müller-Vahl, Kirsten R; Riemann, Laura; Krämer, Hermann; Münchau, Alexander

2014-01-01

In the German movie "Vincent will Meer" a healthy actor portrays a man with Tourette's syndrome. Objective. The aim of this study was to investigate whether the performance of tics is convincing and whether this judgment depends on whether he/she suffers from tics or not. While the movie was broadcasted in German cinemas, we put an online survey (including 28 questions on different aspects related to the observation, performance, and authenticity of tics) on the web pages of the German self-help group. 276/296 surveys submitted could be used for further analyses. 95.7% of all participants felt that the performance of tics was convincing. However, people with tics (n = 26) were less convinced compared to those who had never met a person with tics (n = 110) (P = 0.020). Our results further support the hypothesis that tics are not "abnormal" but "physiological" movements that are only misplaced both in time and context.

School Performance, School Segregation, and Stress-Related Symptoms: Comparing Helsinki and Stockholm

ERIC Educational Resources Information Center

Modin, Bitte; Karvonen, Sakari; Rahkonen, Ossi; Östberg, Viveca

2015-01-01

This study investigates cross-cultural differences in the interrelation between school performance, school segregation, and stress-related health among 9th-grade students in the greater Stockholm and Helsinki areas. Contrary to the Swedish case, it has been proposed that school performance in Finland is largely independent of the specific school…

Evaluation of novel computerized tomography scoring systems in human traumatic brain injury: An observational, multicenter study

PubMed Central

Kivisaari, Riku; Svensson, Mikael; Skrifvars, Markus B.

2017-01-01

Background Traumatic brain injury (TBI) is a major contributor to morbidity and mortality. Computerized tomography (CT) scanning of the brain is essential for diagnostic screening of intracranial injuries in need of neurosurgical intervention, but may also provide information concerning patient prognosis and enable baseline risk stratification in clinical trials. Novel CT scoring systems have been developed to improve current prognostic models, including the Stockholm and Helsinki CT scores, but so far have not been extensively validated. The primary aim of this study was to evaluate the Stockholm and Helsinki CT scores for predicting functional outcome, in comparison with the Rotterdam CT score and Marshall CT classification. The secondary aims were to assess which individual components of the CT scores best predict outcome and what additional prognostic value the CT scoring systems contribute to a clinical prognostic model. Methods and findings TBI patients requiring neuro-intensive care and not included in the initial creation of the Stockholm and Helsinki CT scoring systems were retrospectively included from prospectively collected data at the Karolinska University Hospital (n = 720 from 1 January 2005 to 31 December 2014) and Helsinki University Hospital (n = 395 from 1 January 2013 to 31 December 2014), totaling 1,115 patients. The Marshall CT classification and the Rotterdam, Stockholm, and Helsinki CT scores were assessed using the admission CT scans. Known outcome predictors at admission were acquired (age, pupil responsiveness, admission Glasgow Coma Scale, glucose level, and hemoglobin level) and used in univariate, and multivariable, regression models to predict long-term functional outcome (dichotomizations of the Glasgow Outcome Scale [GOS]). In total, 478 patients (43%) had an unfavorable outcome (GOS 1–3). In the combined cohort, overall prognostic performance was more accurate for the Stockholm CT score (Nagelkerke’s pseudo-R2 range 0.24–0.28) and the Helsinki CT score (0.18–0.22) than for the Rotterdam CT score (0.13–0.15) and Marshall CT classification (0.03–0.05). Moreover, the Stockholm and Helsinki CT scores added the most independent prognostic value in the presence of other known clinical outcome predictors in TBI (6% and 4%, respectively). The aggregate traumatic subarachnoid hemorrhage (tSAH) component of the Stockholm CT score was the strongest predictor of unfavorable outcome. The main limitations were the retrospective nature of the study, missing patient information, and the varying follow-up time between the centers. Conclusions The Stockholm and Helsinki CT scores provide more information on the damage sustained, and give a more accurate outcome prediction, than earlier classification systems. The strong independent predictive value of tSAH may reflect an underrated component of TBI pathophysiology. A change to these newer CT scoring systems may be warranted. PMID:28771476

Adaptive Learning in Smart Cities--The Cases of Catania and Helsinki

ERIC Educational Resources Information Center

Laitinen, Ilpo; Piazza, Roberta; Stenvall, Jari

2017-01-01

Our research is a comparative qualitative study. The material has been gathered from the cities of Helsinki and Catania. The target cities showcase varied successes and models of smart cities. In the cities, key people involved in the smart city concept--with different kinds of professional backgrounds--were interviewed, both individually and in…

Fulfilling Our Promises: The United States and the Helsinki Final Act. A Status Report.

ERIC Educational Resources Information Center

Commission on Security and Cooperation in Europe, Washington, DC.

This report examines compliance by the United States with agreements made in the Helsinki Final Act. The Act was signed in 1975 by leaders of 33 East and West European nations, Canada, and the U.S. It contains numerous cooperative measures aimed at improving East-West relations. This report was prepared by the Commission on Security and…

iPads in Medical Language Courses at the University of Helsinki

ERIC Educational Resources Information Center

Wallinheimo, Kirsi; Pitkänen, Kari K.

2016-01-01

In recent years, the Faculty of Medicine at the University of Helsinki has systematically developed and synchronized its teaching technology, and new iPad-based tools have been an important part of this development. The aim has been to provide the students and teachers in the faculty with synchronized tools that can be used as a basis of a shared…

New Openings in University-Industry Cooperation: Aalto University as the Forerunner of European University Reform

ERIC Educational Resources Information Center

Markkula, Markku; Lappalainen, Pia

2009-01-01

The Innovation University (IU)--to be called the Aalto University after Alvav Aalto, a famous Finnish architect and MIT professor--is a new university which will be created through a merger of three existing universities: the Helsinki University of Technology (TKK), the Helsinki School of Economics (HSE) and the University of Art and Design…

The three official language versions of the Declaration of Helsinki: what's lost in translation?

PubMed

Carlson, Robert V; van Ginneken, Nadja H; Pettigrew, Luisa M; Davies, Alan; Boyd, Kenneth M; Webb, David J

2007-09-01

The Declaration of Helsinki, the World Medical Association's (WMA's) statement of ethical guidelines regarding medical research, is published in the three official languages of the WMA: English, French and Spanish. A detailed comparison of the three official language versions was carried out to determine ways in which they differed and ways in which the wording of the three versions might illuminate the interpretation of the document. There were many minor linguistic differences between the three versions. However, in paragraphs 1, 6, 29, 30 and in the note of clarification to paragraph 29, there were differences that could be considered potentially significant in their ethical relevance. Given the global status of the Declaration of Helsinki and the fact that it is translated from its official versions into many other languages for application to the ethical conduct of research, the differences identified are of concern. It would be best if such differences could be eliminated but, at the very least, a commentary to explain any differences that are unavoidable on the basis of language or culture should accompany the Declaration of Helsinki. This evidence further strengthens the case for international surveillance of medical research ethics as has been proposed by the WMA.

Can Tics be Performed Convincingly by an Actor?

PubMed Central

Müller-Vahl, Kirsten R.; Riemann, Laura; Krämer, Hermann; Münchau, Alexander

2014-01-01

Background. In the German movie “Vincent will Meer” a healthy actor portrays a man with Tourette's syndrome. Objective. The aim of this study was to investigate whether the performance of tics is convincing and whether this judgment depends on whether he/she suffers from tics or not. Methods. While the movie was broadcasted in German cinemas, we put an online survey (including 28 questions on different aspects related to the observation, performance, and authenticity of tics) on the web pages of the German self-help group. 276/296 surveys submitted could be used for further analyses. Results. 95.7% of all participants felt that the performance of tics was convincing. However, people with tics (n = 26) were less convinced compared to those who had never met a person with tics (n = 110) (P = 0.020). Conclusions. Our results further support the hypothesis that tics are not “abnormal” but “physiological” movements that are only misplaced both in time and context. PMID:24895487

Defense AR Journal. Volume 16, Number 3, Issue 52, October 2009

DTIC Science & Technology

2009-10-01

increased ability for a student to transfer that learning experience into their everyday workplace experiences. In short, the use of game...vation to learn and increasing perceived relevance of the instruction . This article covers the use of games and simulations in three different...Rand McNally. Jaaskelainen, V. (1969). Accounting and mathematical programming [Monograph]. Helsinki, Finland: Helsinki School of Economics. Jazayeri, M

The Effect of Task Instructions on Students' Use of Repetition in Argumentative Discourse

NASA Astrophysics Data System (ADS)

Gilabert, Sandra; Garcia-Mila, Merce; Felton, Mark K.

2013-11-01

The reasoning belief of argumentum ad nauseam assumes that when someone repeats something often enough, he or she becomes more convincing. The present paper analyses the use of this strategy by seventh-grade students in an argumentation task. Sixty-five students (mean age: 12.2, SD = 0.4) from a public school in a mid-sized urban environment took part in the study. The students were asked to either argue to convince an opposing partner or argue to reach consensus with an opposing partner on three dilemmas that dealt with energy sources. Data were gathered according to a between-groups design that included one independent variable (argumentative goal: to convince vs. to reach consensus) and one dependent variable (the degree of argumentative repetitions). We predicted that in the condition to convince their partner, the students would use the repetition strategy more often in their attempts to be persuasive. Our findings show that the mean number of argumentative repetitions was significantly higher for the persuasion group for both of the most frequent argumentative structures (claim and claim data). The mean percentage of repeated claims for the persuasion condition was 86.2 vs. 69.0 for the consensus condition. For the claim data, the mean percentage for the persuasion group was 35.2 vs. 24.3 for the consensus group. Also, students in the persuasion group tended to repeat one idea many times rather than repeating many ideas a few times within the same argumentative structure. The results of our study support the hypothesis that the goal of the argumentative task mediates argumentative discourse and, more concretely, the rate of repetitions and the conceptual diversity of the statements. These differences in rates of repetition and conceptual diversity are related to the amount of learning produced by the instructional goal. We apply Mercer's idea that not all classroom argumentation tasks promote learning equally.

Electromagnetic and light scattering by nonspherical particles XVI

NASA Astrophysics Data System (ADS)

Berg, Matthew J.; Eversole, Jay D.; Kolokolova, Ludmilla; Mishchenko, Michael I.; Videen, Gorden

2017-11-01

The 16th Electromagnetic and Light Scattering Conference (ELS-XVI) was held in College Park, MD from 19-25 March 2017 (Fig. 1). This conference built on the success of the previous meetings held in Amsterdam (1995) [1], Helsinki (1997) [2], New York (1998) [3], Vigo (1999), Halifax (2000) [4], Gainesville (2002) [5], Bremen (2003) [6], Salobreña (2005) [7], St. Petersburg (2006) [8], Bodrum (2007) [9], Hatfield (2008) [10], Helsinki (2010) [11], Taormina (2011) [12], Lille (2013) [13], and Leipzig (2015) [14], as well as of three related workshops held in Bremen (1996, 1998) and Moscow (1997). As before, the main objective of this conference was to assemble scientists, engineers, and PhD students researching various aspects of electromagnetic scattering by particles and particle groups and to provide a stimulating atmosphere for in-depth discussions of theory, measurements, and applications. The conference featured 143 presentations by 132 registered participants from 18 countries. The program and the abstracts of conference presentations are available at the official conference web site https://www.giss.nasa.gov/staff/mmishchenko/ELS-XVI.

JPRS Report, West Europe

DTIC Science & Technology

1988-06-30

the opposition’s seat for the entire presidential term—even up to 1994. Paasio will not go this far. " A long -lived government... the job of mayor? [Answer] No. I’m seeking a position of trust from which I can influence the direction in which Helsinki and the Helsinki region...we’d end up using a two-part name, for example, the Finnish Center, in Swedish , Finlandska Center. [Question

The three official language versions of the Declaration of Helsinki: what's lost in translation?

PubMed Central

Carlson, Robert V; van Ginneken, Nadja H; Pettigrew, Luisa M; Davies, Alan; Boyd, Kenneth M; Webb, David J

2007-01-01

Background The Declaration of Helsinki, the World Medical Association's (WMA's) statement of ethical guidelines regarding medical research, is published in the three official languages of the WMA: English, French and Spanish. Methods A detailed comparison of the three official language versions was carried out to determine ways in which they differed and ways in which the wording of the three versions might illuminate the interpretation of the document. Results There were many minor linguistic differences between the three versions. However, in paragraphs 1, 6, 29, 30 and in the note of clarification to paragraph 29, there were differences that could be considered potentially significant in their ethical relevance. Interpretation Given the global status of the Declaration of Helsinki and the fact that it is translated from its official versions into many other languages for application to the ethical conduct of research, the differences identified are of concern. It would be best if such differences could be eliminated but, at the very least, a commentary to explain any differences that are unavoidable on the basis of language or culture should accompany the Declaration of Helsinki. This evidence further strengthens the case for international surveillance of medical research ethics as has been proposed by the WMA. PMID:17761826

Understanding developmental language disorder - the Helsinki longitudinal SLI study (HelSLI): a study protocol.

PubMed

Laasonen, Marja; Smolander, Sini; Lahti-Nuuttila, Pekka; Leminen, Miika; Lajunen, Hanna-Reetta; Heinonen, Kati; Pesonen, Anu-Katriina; Bailey, Todd M; Pothos, Emmanuel M; Kujala, Teija; Leppänen, Paavo H T; Bartlett, Christopher W; Geneid, Ahmed; Lauronen, Leena; Service, Elisabet; Kunnari, Sari; Arkkila, Eva

2018-05-21

Developmental language disorder (DLD, also called specific language impairment, SLI) is a common developmental disorder comprising the largest disability group in pre-school-aged children. Approximately 7% of the population is expected to have developmental language difficulties. However, the specific etiological factors leading to DLD are not yet known and even the typical linguistic features appear to vary by language. We present here a project that investigates DLD at multiple levels of analysis and aims to make the reliable prediction and early identification of the difficulties possible. Following the multiple deficit model of developmental disorders, we investigate the DLD phenomenon at the etiological, neural, cognitive, behavioral, and psychosocial levels, in a longitudinal study of preschool children. In January 2013, we launched the Helsinki Longitudinal SLI study (HelSLI) at the Helsinki University Hospital ( http://tiny.cc/HelSLI ). We will study 227 children aged 3-6 years with suspected DLD and their 160 typically developing peers. Five subprojects will determine how the child's psychological characteristics and environment correlate with DLD and how the child's well-being relates to DLD, the characteristics of DLD in monolingual versus bilingual children, nonlinguistic cognitive correlates of DLD, electrophysiological underpinnings of DLD, and the role of genetic risk factors. Methods include saliva samples, EEG, computerized cognitive tasks, neuropsychological and speech and language assessments, video-observations, and questionnaires. The project aims to increase our understanding of the multiple interactive risk and protective factors that affect the developing heterogeneous cognitive and behavioral profile of DLD, including factors affecting literacy development. This accumulated knowledge will form a heuristic basis for the development of new interventions targeting linguistic and non-linguistic aspects of DLD.

Topical anesthesia with or without propofol sedation versus retrobulbar/peribulbar anesthesia for cataract extraction: prospective randomized trial.

PubMed

Kallio, H; Uusitalo, R J; Maunuksela, E L

2001-09-01

To evaluate the feasibility of intravenous sedation in addition to topical anesthesia during cataract extraction. Helsinki University Eye Hospital, Helsinki, Finland. Three hundred seventeen eyes of 291 consecutive patients having cataract surgery were prospectively randomized to receive topical (oxybuprocaine 0.4%, n = 96), combined (topical anesthesia and propofol sedation, n = 107), or retrobulbar/peribulbar (prilocaine 1.5%, n = 114) anesthesia. The intraoperative conditions were judged by the surgeon. A numerical scale (0 to 10) was used to assess the degree of pain during surgery. Outcome measures were the number of complications and adverse events registered perioperatively and 1 week postoperatively as well as Snellen visual acuity. The success of posterior chamber intraocular lens (IOL) implantation through a self-sealing clear corneal incision was 97.9%, 96.3%, and 98.2% in the topical, combined, and retrobulbar/peribulbar groups, respectively. There was no difference among the groups in pain during surgery, frequency of complications, or outcome measures. One week postoperatively, visual acuity was 20/40 or better in 81.7%, 78.5%, and 77.5% of eyes in the topical, combined, and retrobulbar/peribulbar groups, respectively. The surgeon reported significantly fewer difficulties in the retrobulbar/peribulbar group (9.8%) than in the topical (26.0%) (P =.004) or combined (21.0%) (P =.036) groups. Additional sedative/analgesic medication given intraoperatively was required significantly more often in the topical (15.6%) than in the retrobulbar/peribulbar group (2.6%) (P =.002). Patients with bilateral surgery preferred combined anesthesia over retrobulbar/peribulbar anesthesia; however, there was no significant difference in patient acceptance among groups in patients having unilateral surgery. Intravenous propofol sedation added to topical anesthesia did not improve the operative conditions or surgical outcome. Retrobulbar/peribulbar anesthesia ensured the best surgical conditions. Patients in all anesthesia groups reported high satisfaction. However, patients having bilateral surgery seemed to prefer combined anesthesia over retrobulbar/peribulbar anesthesia.

The Dynamics of the Human Infant Gut Microbiome in Development and in Progression Toward Type1 Diabetes

DTIC Science & Technology

2016-09-09

5Research Program Unit, Diabetes and Obesity , University of Helsinki, 00290 Helsinki, Finland 6Department of Information and Computer Science, Aalto...Figure 6C). Altered levels of serum triglycerides are a common feature of obesity and type 2 diabetes, and hypertriglyceridemia is (B) Shown is the...composition that may contribute to childhood disease, we must first investigate the normal dynamics of the community in the developing infant. Here

OH reactivity of the urban air in Helsinki, Finland, during winter

NASA Astrophysics Data System (ADS)

Praplan, Arnaud P.; Pfannerstill, Eva Y.; Williams, Jonathan; Hellén, Heidi

2017-11-01

A new instrument to measure total OH reactivity in ambient air based on the Comparative Reactivity Method (CRM) has been built and characterized at the Finnish Meteorological Institute in Helsinki, Finland. The system is based on the detection of pyrrole by a gas chromatograph with a photoionization detector and designed for long term studies. It was tested in a container close to the SMEAR III semi-urban station in Helsinki during the winter in February 2016. The sampling location next to the delivery area of the institute was influenced by local vehicle emissions and cannot be considered representative of background conditions in Helsinki. However, effects of nitrogen oxides on the measurements could be investigated there. During this campaign, 56 compounds were measured individually by 1) an in-situ gas chromatograph coupled to a mass spectrometer (GC/MS) and by 2) off-line sampling in canisters and on adsorbent filled cartridges taken at the container and subsequently analysed by GC-FID and liquid chromatography, respectively. In addition, nitrogen oxides were measured at the same location, while ozone, carbon monoxide and sulfur dioxide concentrations have been retrieved from the SMEAR III mast data. The comparison between the total OH reactivity measured and the OH reactivity derived from individual compound measurements are in better agreement for lower reactivity levels. Possible explanations for the differences are discussed in detail.

"Sniffer"—a novel tool for chasing vehicles and measuring traffic pollutants

NASA Astrophysics Data System (ADS)

Pirjola, L.; Parviainen, H.; Hussein, T.; Valli, A.; Hämeri, K.; Aaalto, P.; Virtanen, A.; Keskinen, J.; Pakkanen, T. A.; Mäkelä, T.; Hillamo, R. E.

To measure traffic pollutants with high temporal and spatial resolution under real conditions a mobile laboratory was designed and built in Helsinki Polytechnic in close co-operation with the University of Helsinki. The equipment of the van provides gas phase measurements of CO and NO x, number size distribution measurements of fine and ultrafine particles by an electrical low pressure impactor, an ultrafine condensation particle counter and a scanning mobility particle sizer. Two inlet systems, one above the windshield and the other above the bumper, enable chasing of different type of vehicles. Also, meteorological and geographical parameters are recorded. This paper introduces the construction and technical details of the van, and presents data from the measurements performed during an LIPIKA campaign on the highway in Helsinki. Approximately 90% of the total particle number concentration was due to particles smaller than 50 nm on the highway in Helsinki. The peak concentrations exceeded often 200,000 particles cm -3 and reached sometimes a value of 10 6 cm -3. Typical size distribution of fine particles possessed bimodal structure with the modal mean diameters of 15-20 nm and ˜150 nm. Atmospheric dispersion of traffic pollutions were measured by moving away from the highway along the wind direction. At a distance of 120-140 m from the source the concentrations were diluted to one-tenth from the values at 9 m from the source.

Education in applied and instrumental optics at the University of Helsinki

NASA Astrophysics Data System (ADS)

Stenman, Folke

1997-12-01

The teaching of applied and instrumental optics at the University of Helsinki Department of Physics originally grew out of the needs of the research group of molecular physics as a basis for the experimental work in the group. The training program starts with a one-year course for senior undergraduates and graduates comprising geometrical optics, eikonal theory, image forming components, matrix methods, optical instruments, the optics of laser beams, radiometry and photometry, ray tracing methods, optics of anisotropic media, diffraction theory, general image formation theory and Fourier optics. The course starts from fundamentals, but the mathematical level is kept adequate for serious work. Further applications are treated in courses on molecular spectroscopy, where ruled and holographic diffraction gratings (both plane and spherical), interferometric spectroscopy and imaging properties of spectral equipment are treated. Aspects of image analysis, information in optics, signal-to-noise ratio, etc. are treated in separate courses on Fourier method and digital spectral analysis. The applicability of optical techniques to various fields of physics and engineering and the analogies with them are especially brought out. Experimental and calculational and skills are stressed throughout. Computer programming is introduced as an indispensable tool for the optics practitioner, and the students are required to write programs of their own. The students gain practical experience, e.g., by working in the molecular physics group. Close cooperation is maintained with other research groups in laser physics, ultrasonics and physical chemistry. The training in optics has proved very useful, with students frequently ending up working in the industry on optics and spectroscopy problems. Parts of these courses have also been given at other universities and to engineers and scientists working in the industry.

Clinical evidence supporting pharmacogenomic biomarker testing provided in US Food and Drug Administration drug labels.

PubMed

Wang, Bo; Canestaro, William J; Choudhry, Niteesh K

2014-12-01

Genetic biomarkers that predict a drug's efficacy or likelihood of toxicity are assuming increasingly important roles in the personalization of pharmacotherapy, but concern exists that evidence that links use of some biomarkers to clinical benefit is insufficient. Nevertheless, information about the use of biomarkers appears in the labels of many prescription drugs, which may add confusion to the clinical decision-making process. To evaluate the evidence that supports pharmacogenomic biomarker testing in drug labels and how frequently testing is recommended. Publicly available US Food and Drug Administration databases. We identified drug labels that described the use of a biomarker and evaluated whether the label contained or referenced convincing evidence of its clinical validity (ie, the ability to predict phenotype) and clinical utility (ie, the ability to improve clinical outcomes) using guidelines published by the Evaluation of Genomic Applications in Practice and Prevention Working Group. We graded the completeness of the citation of supporting studies and determined whether the label recommended incorporation of biomarker test results in therapeutic decision making. Of the 119 drug-biomarker combinations, only 43 (36.1%) had labels that provided convincing clinical validity evidence, whereas 18 (15.1%) provided convincing evidence of clinical utility. Sixty-one labels (51.3%) made recommendations about how clinical decisions should be based on the results of a biomarker test; 36 (30.3%) of these contained convincing clinical utility data. A full description of supporting studies was included in 13 labels (10.9%). Fewer than one-sixth of drug labels contained or referenced convincing evidence of clinical utility of biomarker testing, whereas more than half made recommendations based on biomarker test results. It may be premature to include biomarker testing recommendations in drug labels when convincing data that link testing to patient outcomes do not exist.

Migrant Farmworkers in the United States. Implementation of the Helsinki Accords. Briefings of the Commission on Security and Cooperation in Europe (July 20, 1992; October 9, 1992; February 19, 1993; March 1, 1993; April 8, 1993).

ERIC Educational Resources Information Center

Commission on Security and Cooperation in Europe, Washington, DC.

The Commission on Security and Cooperation in Europe (CSCE) monitors and encourages human rights compliance by signatories of the Helsinki Final Act of 1975. Language pertaining to migrant workers is found in all major CSCE documents, and the examination of migrant farmworker issues represents part of the Commission's ongoing review of U.S.…

GAPR2: A DTN Routing Protocol for Communications in Challenged, Degraded, and Denied Environments

DTIC Science & Technology

2015-09-01

Transmission Speed Vs. Latency Figure 4.7: Helsinki Simulation Set 2, High Network Load and Small Buffers Analysis of Delivery Ratio in Helsinki Simulation...ipnsig.org/. [17] MANET routing, class notes for CS4554: Network modeling and analysis . 119 [18] S. Basagni et al. Mobile ad hoc networking . John...Wiley & Sons, 2004. [19] E. Royer et al. A review of current routing protocols for ad hoc mobile wireless networks . Personal Communications, IEEE, 6(2

A comparison of the diagnostic utility of two image receptors for panoramic radiography.

PubMed

Carmichael, F A; Hirschmann, P N; Scaife, B; Sheard, L; Mackenzie, A

2000-01-01

To compare the diagnostic utility of two screen-film systems for panoramic radiography, one based on green and the other on ultraviolet light. Two hundred consecutive adult patients with teeth in all four quadrants requiring panoramic radiographs were randomly allocated to one of two groups. One group was imaged with OGA L (CEA AB, Strängnäs, Sweden) film using Lanex Regular (Eastman Kodak, Rochester, NY, USA) screens (the Lanex group). The other group was imaged using Ultra-Vision (Dupont UK Limited, Hertfordshire, UK) film and screens (the Ultra-vision group). Two different panoramic machines were used, a Planmeca (Planmeca OY, Helsinki, Finland) and Cranex (Soredex Orion Corporation, Helsinki, Finland). The radiographs were evaluated by two radiographers for overall quality and any faults recorded. Two dental radiologists evaluated the crestal and apical areas of every standing tooth on a 4-point scale. The likelihood of getting a high-quality image with the different films was modelled using logistic regression, adjusting for the radiologist and the area of the tooth being examined. Inter- and intra-examiner agreement was calculated using Kappa and weighted Kappa where appropriate. The radiographers recorded no significant differences in positioning errors between the two groups of film. However, the films produced on the Cranex were less likely to be recorded as excellent. The radiologists' interexaminer agreement for the lower molars and upper incisors was only moderate at best (kappa = 0.56). No significant differences were found between the likelihood of the two types of film providing a high-quality image. Crestal areas were more likely to be scored well than apical areas. There were no differences in ease of discerning apical and crestal areas between the two screen-film systems. There was only poor to moderate agreement between the two radiologists. Ultra-Vision can be recommended as an alternative to existing rare earth systems for panoramic radiography.

The DGPS based navigation and positioning system of the Helsinki University of Technology Short SC7 Skyvan research aircraft

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tauriainen, S.; Ahola, P.; Hallikainen, M.

1996-10-01

The typical airborne remote sensing measurements conducted by the Helsinki University of Technology laboratory of space technology require very precise navigation over the selected measurement sites. This means that both system performance as far as positioning is concerned and the actual flight track of the aircraft has to be within 10 meters. To meet these requirements, a custom made navigation system was designed and installed in the SHORT SC7 Skyvan research aircraft of the Helsinki University of Technology. The system is based on the Finnish national Differential GPS network providing positioning accuracy within a few meters within Finland. For pilotmore » guidance, a graphical user interface with mission specific software is used to give the pilots an overview of the relative position and orientation to the measurement target. In addition, the system is used to synchronize the scientific instruments and record the actual flight track. 2 refs., 2 figs.« less

Longitudinal changes in maternal and neonatal anthropometrics: a case study of the Helsinki Birth Cohort, 1934-1944.

PubMed

Moltchanova, E; Eriksson, J G

2015-08-01

Changes in anthropometrics often reflect changes in living conditions, and one's characteristics at birth may be associated with future health. The aim of this study was to investigate the secular trends in maternal and neonatal anthropometrics in the Helsinki Birth Cohort Study. The study participants, thus, comprised all 13,345 live births recorded in Helsinki, Finland, between 1934 and 1944. Adult characteristics of the clinical subsample comprised of 2003 individuals, alive during 2003, were also analyzed. Linear Regression analysis with seasonal terms was applied to see whether clinically and statistically significant trends can be found in maternal age, height and body mass index (BMI) at pregnancy; gestational age, birth weight, ponderal index and sex ratio; and adult height, BMI and fat percentage. Statistically significant trends were found in maternal age and maternal BMI with abrupt changes between 1941 and 1944. Gestational age increased by an average of 0.11% per year (P<0.0001), and the proportion of premature births dropped from 7.9% in 1934 to 4.5% in 1944 (P<0.0001). In the clinical sample, a statistically significant, although small, average annual increase of 0.1% in adult heights was detected (P=0.0012 for men and P=0.0035 for women). In conclusion, although no significant changes were found in either neonatal or adult anthropometrics of babies born in Helsinki between 1934 and 1944, there were abrupt changes in the characteristics of their mothers.

Pilot investigations of surface parts of three closed landfills and factors affecting them.

PubMed

Saarela, Jouko

2003-05-01

Aftercare of closed sanitary landfills in a major environmental problem. Rehabilitation of the landfill with vegetation and reducing leachate production are two issues that must be dealt. For this reason, Finnish Environment Institute has conducted several projects on closed landfills. This research aims at determining the physical and chemical properties of the soils at three closed landfills in Helsinki, Finland. Research was conducted to understand the impact by studying the following properties: Chemical, nutrient metal, gamma and radon analysis of surface soils of three closed landfills in Helsinki area.

Educational differences in sickness absence trends among young employees from 2002 to 2013 in Helsinki, Finland.

PubMed

Sumanen, Hilla; Lahelma, Eero; Lahti, Jouni; Pietiläinen, Olli; Rahkonen, Ossi

2016-05-06

Socioeconomic differences in sickness absence (SA) are well established among older employees but poorly understood among the young. Our aim was to examine 12-year trends in educational differences in SA among young female and male employees, and to assess the magnitude of the differences. We examined annual SA spells. The data were obtained from the employer's registers and linked to Statistics Finland's register data on completed education and qualifications. Education was classified into four hierarchical groups. Joinpoint regression models were used to identify turning points in SA trends. The magnitude of the relative educational differences was estimated in accordance with the relative index of inequality for 2002, 2008 and 2013. Employees of the City of Helsinki, Finland, in 2002-2013. The analyses covered female and male employees aged 25-34 years: employees aged 35-54 years were used as a reference group. SA spells. An educational gradient emerged among younger and older women and men. SA spells increased in the early 2000s, and downward turning points were located in 2007-2010 in all educational groups among women and in most groups among men. The magnitude of the differences remained broadly stable among younger women from 2002 to 2013, and decreased slightly among older women and more strongly among younger and older men. The educational differences were greater among men than women in the early 2000s, but similar among both at the end of the study period. The changes in SA spells may reflect the economic downturn started in 2008 and resulting job insecurity. Early preventive measures aimed at reducing educational differences in SA should be focused at an early stage on those with low levels of education in particular. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Replication of boid inclusion body disease-associated arenaviruses is temperature sensitive in both boid and mammalian cells.

PubMed

Hepojoki, Jussi; Kipar, Anja; Korzyukov, Yegor; Bell-Sakyi, Lesley; Vapalahti, Olli; Hetzel, Udo

2015-01-15

Boid inclusion body disease (BIDB) is a fatal disease of boid snakes, the etiology of which has only recently been revealed following the identification of several novel arenaviruses in diseased snakes. BIBD-associated arenaviruses (BIBDAV) are genetically divergent from the classical Old and New World arenaviruses and also differ substantially from each other. Even though there is convincing evidence that BIBDAV are indeed the etiological agent of BIBD, the BIBDAV reservoir hosts--if any exist besides boid snakes themselves--are not yet known. In this report, we use University of Helsinki virus (UHV; a virus that we isolated from a Boa constrictor with BIBD) to show that BIBDAV can also replicate effectively in mammalian cells, including human cells, provided they are cultured at 30°C. The infection induces the formation of cytoplasmic inclusion bodies (IB), comprised mainly of viral nucleoprotein (NP), similar to those observed in BIBD and in boid cell cultures. Transferring infected cells from 30°C to 37°C ambient temperature resulted in progressive declines in IB formation and in the amounts of viral NP and RNA, suggesting that BIBDAV growth is limited at 37°C. These observations indirectly indicate that IB formation is linked to viral replication. In addition to mammalian and reptilian cells, UHV infected arthropod (tick) cells when grown at 30°C. Even though our findings suggest that BIBDAV have a high potential to cross the species barrier, their inefficient growth at mammalian body temperatures indicates that the reservoir hosts of BIBDAV are likely species with a lower body temperature, such as snakes. The newly discovered boid inclusion body disease-associated arenaviruses (BIBDAV) of reptiles have drastically altered the phylogeny of the family Arenavirus. Prior to their discovery, known arenaviruses were considered mainly rodent-borne viruses, with each arenavirus species having its own reservoir host. BIBDAV have so far been demonstrated in captive boid snakes, but their possible reservoir host(s) have not yet been identified. Here we show, using University of Helsinki virus as a model, that these viruses are able to infect mammalian (including human) and arthropod cells. Our results provide in vitro proof of the considerable ability of arenaviruses to cross species barriers. However, our data indicate that BIBDAV growth occurs at 30°C but is inhibited at 37°C, implying that crossing of the species barrier would be hindered by the body temperature of mammalian species. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

Executives' speech expressiveness: analysis of perceptive and acoustic aspects of vocal dynamics.

PubMed

Marquezin, Daniela Maria Santos Serrano; Viola, Izabel; Ghirardi, Ana Carolina de Assis Moura; Madureira, Sandra; Ferreira, Léslie Piccolotto

2015-01-01

To analyze speech expressiveness in a group of executives based on perceptive and acoustic aspects of vocal dynamics. Four male subjects participated in the research study (S1, S2, S3, and S4). The assessments included the Kingdomality test to obtain the keywords of communicative attitudes; perceptive-auditory assessment to characterize vocal quality and dynamics, performed by three judges who are speech language pathologists; perceptiveauditory assessment to judge the chosen keywords; speech acoustics to assess prosodic elements (Praat software); and a statistical analysis. According to the perceptive-auditory analysis of vocal dynamics, S1, S2, S3, and S4 did not show vocal alterations and all of them were considered with lowered habitual pitch. S1: pointed out as insecure, nonobjective, nonempathetic, and unconvincing with inappropriate use of pauses that are mainly formed by hesitations; inadequate separation of prosodic groups with breaking of syntagmatic constituents. S2: regular use of pauses for respiratory reload, organization of sentences, and emphasis, which is considered secure, little objective, empathetic, and convincing. S3: pointed out as secure, objective, empathetic, and convincing with regular use of pauses for respiratory reload and organization of sentences and hesitations. S4: the most secure, objective, empathetic, and convincing, with proper use of pauses for respiratory reload, planning, and emphasis; prosodic groups agreed with the statement, without separating the syntagmatic constituents. The speech characteristics and communicative attitudes were highlighted in two subjects in a different manner, in such a way that the slow rate of speech and breaks of the prosodic groups transmitted insecurity, little objectivity, and nonpersuasion.

Obstetric Complications as Risk Factors for Schizophrenia Spectrum Psychoses in Offspring of Mothers With Psychotic Disorder

PubMed Central

Suvisaari, Jaana M.

2013-01-01

Background: Obstetric complications have predicted future development of schizophrenia in previous studies, but they are also more common in mothers with schizophrenia. The aims of this study were to compare the occurrence of obstetric complications in children of mothers with schizophrenia spectrum psychoses and control children, and to investigate whether obstetric complications predicted children’s psychiatric morbidity. Method: The Helsinki High-Risk (HR) Study monitors females born between 1916 and 1948 and treated for schizophrenia spectrum disorders in Helsinki psychiatric hospitals, their offspring born between 1941 and 1977, and controls. We examined information on obstetric complications and neonatal health of 271 HR and 242 control offspring. We compared the frequency of obstetric complications and neonatal health problems in the HR group vs controls and in HR children who later developed psychotic disorders vs healthy HR children. A Cox regression model was used to assess whether problems in pregnancy or delivery predicted psychiatric morbidity within the HR group. Results: Few differences between HR and control offspring were found in obstetric complications. Within the HR group, infections (hazard rate ratio [HRR] 3.73, 95% CI 1.27–11.01), hypertension during pregnancy (HRR 4.10, 95% CI 1.15–14.58), and placental abnormalities (HRR 4.09, 95% CI 1.59–10.49) were associated with elevated risk of schizophrenia spectrum psychoses. Conclusions: Common medical problems during pregnancy were associated with increased risk of schizophrenia spectrum psychoses in offspring of mothers with schizophrenia spectrum psychoses. These results underline the role of the prenatal period in the development of schizophrenia and the importance of careful monitoring of pregnancies of mothers with psychotic disorder. PMID:23002182

Obstetric complications as risk factors for schizophrenia spectrum psychoses in offspring of mothers with psychotic disorder.

PubMed

Suvisaari, Jaana M; Taxell-Lassas, Virpi; Pankakoski, Maiju; Haukka, Jari K; Lönnqvist, Jouko K; Häkkinen, Laura T

2013-09-01

Obstetric complications have predicted future development of schizophrenia in previous studies, but they are also more common in mothers with schizophrenia. The aims of this study were to compare the occurrence of obstetric complications in children of mothers with schizophrenia spectrum psychoses and control children, and to investigate whether obstetric complications predicted children's psychiatric morbidity. The Helsinki High-Risk (HR) Study monitors females born between 1916 and 1948 and treated for schizophrenia spectrum disorders in Helsinki psychiatric hospitals, their offspring born between 1941 and 1977, and controls. We examined information on obstetric complications and neonatal health of 271 HR and 242 control offspring. We compared the frequency of obstetric complications and neonatal health problems in the HR group vs controls and in HR children who later developed psychotic disorders vs healthy HR children. A Cox regression model was used to assess whether problems in pregnancy or delivery predicted psychiatric morbidity within the HR group. Few differences between HR and control offspring were found in obstetric complications. Within the HR group, infections (hazard rate ratio [HRR] 3.73, 95% CI 1.27-11.01), hypertension during pregnancy (HRR 4.10, 95% CI 1.15-14.58), and placental abnormalities (HRR 4.09, 95% CI 1.59-10.49) were associated with elevated risk of schizophrenia spectrum psychoses. Common medical problems during pregnancy were associated with increased risk of schizophrenia spectrum psychoses in offspring of mothers with schizophrenia spectrum psychoses. These results underline the role of the prenatal period in the development of schizophrenia and the importance of careful monitoring of pregnancies of mothers with psychotic disorder.

The Permanent Temps' Lament: Why Not Tenure Status?

ERIC Educational Resources Information Center

Lemon, Hallie S.; And Others

This scripted dialogue is a fully documented story about the history and conditions of one group of post-secondary teachers of English. The narrative focuses on the proposal of this group of "permanent" temporary writing instructors from Western Illinois University to convince administrators to change their status to tenure track by…

Excel Spreadsheets for Algebra: Improving Mental Modeling for Problem Solving

ERIC Educational Resources Information Center

Engerman, Jason; Rusek, Matthew; Clariana, Roy

2014-01-01

This experiment investigates the effectiveness of Excel spreadsheets in a high school algebra class. Students in the experiment group convincingly outperformed the control group on a post lesson assessment. The student responses, teacher observations involving Excel spreadsheet revealed that it operated as a mindtool, which formed the users'…

Evaluation of the impact of wood combustion on benzo[a]pyrene (BaP) concentrations; ambient measurements and dispersion modeling in Helsinki, Finland

NASA Astrophysics Data System (ADS)

Hellén, Heidi; Kangas, Leena; Kousa, Anu; Vestenius, Mika; Teinilä, Kimmo; Karppinen, Ari; Kukkonen, Jaakko; Niemi, Jarkko V.

2017-03-01

Even though emission inventories indicate that wood combustion is a major source of polycyclic aromatic hydrocarbons (PAHs), estimating its impacts on PAH concentration in ambient air remains challenging. In this study the effect of local small-scale wood combustion on the benzo[a]pyrene (BaP) concentrations in ambient air in the Helsinki metropolitan area in Finland is evaluated, using ambient air measurements, emission estimates, and dispersion modeling. The measurements were conducted at 12 different locations during the period from 2007 to 2015. The spatial distributions of annual average BaP concentrations originating from wood combustion were predicted for four of those years: 2008, 2011, 2013, and 2014. According to both the measurements and the dispersion modeling, the European Union target value for the annual average BaP concentrations (1 ng m-3) was clearly exceeded in certain suburban detached-house areas. However, in most of the other urban areas, including the center of Helsinki, the concentrations were below the target value. The measured BaP concentrations highly correlated with the measured levoglucosan concentrations in the suburban detached-house areas. In street canyons, the measured concentrations of BaP were at the same level as those in the urban background, clearly lower than those in suburban detached-house areas. The predicted annual average concentrations matched with the measured concentrations fairly well. Both the measurements and the modeling clearly indicated that wood combustion was the main local source of ambient air BaP in the Helsinki metropolitan area.

Daily variation in fine and ultrafine particulate air pollution and urinary concentrations of lung Clara cell protein CC16

PubMed Central

Timonen, K; Hoek, G; Heinrich, J; Bernard, A; Brunekreef, B; de Hartog, J; Hameri, K; Ibald-Mulli, A; Mirme, A; Peters, A; Tiittanen, P; Kreyling, W; Pekkanen, J

2004-01-01

Background: Daily variations in ambient particulate air pollution have been associated with respiratory mortality and morbidity. Aims: To assess the associations between urinary concentration of lung Clara cell protein CC16, a marker for lung damage, and daily variation in fine and ultrafine particulate air pollution. Methods: Spot urinary samples (n = 1249) were collected biweekly for six months in subjects with coronary heart disease in Amsterdam, Netherlands (n = 37), Erfurt, Germany (n = 47), and Helsinki, Finland (n = 47). Ambient particulate air pollution was monitored at a central site in each city. Results: The mean 24 hour number concentration of ultrafine particles was 17.3x103 cm–3 in Amsterdam, 21.1x103 cm–3 in Erfurt, and 17.0x103 cm–3 in Helsinki. The mean 24 hour PM2.5 concentrations were 20, 23, and 13 µg/m3, respectively. Daily variation in ultrafine particle levels was not associated with CC16. In contrast, CC16 concentration seemed to increase with increasing levels of PM2.5 in Helsinki, especially among subjects with lung disorders. No clear associations were observed in Amsterdam and Erfurt. In Helsinki, the CC16 concentration increased by 20.2% (95% CI 6.9 to 33.5) per 10 µg/m3 increase in PM2.5 concentration (lag 2). The respective pooled effect estimate was 2.1% (95% CI –1.3 to 5.6). Conclusion: The results suggest that exposure to particulate air pollution may lead to increased epithelial barrier permeability in lungs. PMID:15477284

Periodontal status in university students.

PubMed

Murtomaa, H; Meurman, J H; Rytömaa, I; Turtola, L

1987-09-01

The periodontal status of 217 5th-year students (aged 25-26 years and born in Helsinki) at the University of Helsinki was assessed. The students had been eligible for community-based dental care free of charge until the age of 18 years, after which they could obtain low-cost dental care from the Helsinki Student Health Service. Their periodontal status was determined according the community periodontal index of treatment needs; gingival retraction was recorded when 1 mm or more of the cementum was exposed. Code 0 sextant was found for 67% of the women and 57% of the men. 20% of the students examined had sextant scoring of code 3; no-one had code 4 sextants. 69% of the women and 49% of the men had gingival retraction, in average 1.5 +/- 0.5 mm. No correlation was found between the frequency of toothbrushing or the hand used for brushing and the number of retractions, nor did the number of healthy sextants correlate with the frequency of retractions. The findings emphasize the importance of better guidance regarding qualitative aspects of oral hygiene at home.

Extending the boundaries of the Declaration of Helsinki: a case study of an unethical experiment in a non-medical setting

PubMed Central

Richter, E.; Barach, P.; Berman, T.; Ben-David, G; Weinberger, Z.

2001-01-01

To examine the ethical issues involved in governmental decisions with potential health risks, we review the history of the decision to raise the interurban speed limit in Israel in light of its impact on road death and injury. In 1993, the Israeli Ministry of Transportation initiated an "experiment" to raise the interurban speed limit from 90 to 100 kph. The "experiment" did not include a protocol and did not specify cut-off points for early termination in the case of adverse results. After the raise in the speed limit, the death toll on interurban roads rose as a result of a sudden increase in speeds and case fatality rates. The committee's decision is a case study in unfettered human experimentation and public health risks when the setting is non-medical and lacks a defined ethical framework. The case study states the case for extending Helsinki type safeguards to experimentation in non-medical settings. Key Words: Declaration of Helsinki • human experimentation • speed limit PMID:11314157

Meeresschutzgebiete für den Nordost-Atlantik und die ostsee im Rahmen der Oslo-Paris-und der Helsinki-Übereinkommen

NASA Astrophysics Data System (ADS)

von Nordheim, Henning

1999-12-01

It has been common practice for decades, especially since the Convention on Biological Diversity was adopted in Rio (1992), to protect certain marine areas, and the possibilities and scope of such marine protection measures have been widely discussed. The Helsinki and Oslo-Paris Conventions for the protection of the marine environment, which are relevant for Germany, provide a framework for the establishment of marine protected areas. As early as 1993, the Helsinki Commission (HELCOM), in its Recommendation 15/5, decided to create a system of “Baltic Sea Protected Areas (BSPA)”, starting with 62 areas. More protected areas are being added to the system. The Oslo-Paris Commission (OSPARCOM), within the framework of the new 1998 Annex V of the Convention on the Protection and Conservation of the Ecosystems and Biological Diversity of the Maritime Area, has initiated the establishment of a system of protected areas in the North-East Atlantic under the guidance of Germany. Information on the current status of both marine environmental protection systems is provided in this paper.

Personal carbon monoxide exposures of preschool children in Helsinki, Finland—comparison to ambient air concentrations

NASA Astrophysics Data System (ADS)

Alm, S.; Mukala, K.; Tiittanen, P.; Jantunen, M. J.

The associations of personal carbon monoxide (CO) exposures with ambient air CO concentrations measured at fixed monitoring sites, were studied among 194 children aged 3-6 yr in four downtown and four suburban day-care centers in Helsinki, Finland. Each child carried a personal CO exposure monitor between 1 and 4 times for a time period of between 20 and 24 h. CO concentrations at two fixed monitoring sites were measured simultaneously. The CO concentrations measured at the fixed monitoring sites were usually lower (mean maximum 8-h concentration: 0.9 and 2.6 mg m -3) than the personal CO exposure concentrations (mean maximum 8-h concentration: 3.3 mg m -3). The fixed site CO concentrations were poor predictors of the personal CO exposure concentrations. However, the correlations between the personal CO exposure and the fixed monitoring site CO concentrations increased (-0.03--0.12 to 0.13-0.16) with increasing averaging times from 1 to 8 h. Also, the fixed monitoring site CO concentrations explained the mean daily or weekly personal CO exposures of a group of simultaneously measured children better than individual exposure CO concentrations. This study suggests that the short-term CO personal exposure of children cannot be meaningfully assessed using fixed monitoring sites.

A study to promote breast feeding in the Helsinki Metropolitan area in Finland.

PubMed

Hannula, Leena S; Kaunonen, Marja E; Puukka, Pauli J

2014-06-01

the aim of this study was to assess the impact of providing intensified support for breast feeding during the perinatal period. a quasi-experimental design with non-equivalent control group. three public maternity hospitals (two study, one control) in the Helsinki Metropolitan area in Finland. a convenience sample of 705 mothers (431 in the intervention group, 274 in the control group). in this study, families in the intervention group had access to intensified breast feeding support from midpregnancy, whereas those in the control group had access to normal care. Intensified support included lectures and workshops to health professionals, and families in the intervention group had access to more intensive support and counselling for breast feeding and a breast feeding outpatient clinic. Additionally, an internet-based intervention was only used in the intervention group, but not in the control group. Mothers in the control group received normal care from the midwifery and nursing professionals who were to continue their work normally. The data were analysed statistically. altogether 705 women participated in the study. In the intervention group (n=431), 76% of the women breast fed exclusively throughout the hospital stay, compared to 66% of the mothers in the control group (n=274). In multivariate analysis, the likelihood of exclusive breast feeding at the time of responding (at hospital discharge or after that at home) was increased by the mother not being treated for an underlying illness or medical problem during pregnancy, being in the intervention group, having normal vaginal childbirth, high breast feeding confidence, positive attitude towards breast feeding, good coping with breast feeding, and 24-hour presence of the infant's father in the ward. the low exclusive breast feeding rates of newborns could be increased by using intensified breast feeding support. Mothers' health problems during pregnancy can decrease exclusive breast feeding. Mothers with health problems or other than normal childbirth should receive extra breast feeding support, and the presence of fathers in the ward should be encouraged. Intensified breast feeding counselling and support helps mothers to breast feed exclusively. This support should be available in a variety of forms, so that mothers can choose the type of support they need. As breast feeding counselling and support is intensified, more mothers succeed with exclusive breast feeding. © 2013 Published by Elsevier Ltd.

Joint association of physical activity and overweight with subsequent psychotropic medication: a register-linked follow-up study among employees.

PubMed

Loponen, Tiina; Lallukka, Tea; Holstila, Ansku; Lahti, Jouni

2015-10-03

Physical activity level and overweight have shown associations with mental health problems but it is not known whether the risk of mental health problems due to overweight varies by physical activity. We examined joint association of physical activity and overweight with subsequent psychotropic medication among 40-60-year-old employees. The questionnaire survey data were derived from Helsinki Health Study baseline postal questionnaires in 2000-02 among employees of the City of Helsinki aged 40-60 years (n = 8960, response rate 67%). Baseline survey data were linked with prospective register data on prescribed psychotropic medication (ATC-codes N05 and N06, except N06D) among those with written consent (74%) for such linkage. The analyses included 6169 responders (78% women, corresponding to the target population). We divided participants into six groups according to their baseline self-reported body mass index and leisure-time physical activity using physically highly active normal-weight participants as a reference group. We used Cox regression analysis adjusted for age, gender, psychotropic medication prior to baseline, and socioeconomic position, marital status, working conditions, limiting long-standing illness, alcohol use, and smoking. At baseline, 49% were overweight and 23% were physically inactive. After adjusting for age and gender, inactive normal-weight (hazard ratio (HR) 1.3, 95% CI 1.1-1.5), moderately active overweight (HR 1.3, 95% CI 1.1-1.5) and inactive overweight (HR 1.4, 95% CI 1.2-1.6) had higher risk for any psychotropic medication compared with group of highly active normal-weight. After adjusting for prior medication, only the inactive overweight group had higher risk (HR 1.4, 95% CI 1.2-1.6). Other covariates made but a minor contribution to the examined associations. For antidepressants the associations were somewhat stronger than for sedatives. Both normal-weight and physical activity help prevent psychotropic medication but physical activity dominates the association over normal-weight.

Comparison of OMI NO2 Observations and Their Seasonal and Weekly Cycles with Ground-Based Measurements in Helsinki

NASA Technical Reports Server (NTRS)

Ialongo, Iolanda; Herman, Jay; Krotkov, Nick; Lamsal, Lok; Boersma, Folkert; Hovila, Jari; Tamminen, Johanna

2016-01-01

We present the comparison of satellite-based OMI (Ozone Monitoring Instrument) NO2 products with ground-based observations in Helsinki. OMI NO2 total columns, available from standard product (SP) and DOMINO algorithm, are compared with the measurements performed by the Pandora spectrometer in Helsinki in 2012. The relative difference between Pandora 21 and OMI SP retrievals is 4 and 6 for clear sky and all sky conditions, respectively. DOMINO NO2 retrievals showed slightly lower total columns with median differences about 5 and 14 for clear sky and all sky conditions, respectively. Large differences often correspond to cloudy autumn-winter days with solar zenith angles above 65. Nevertheless, the differences remain within the retrieval uncertainties. Furthermore, the weekly and seasonal cycles from OMI, Pandora and NO2 surface concentrations are compared. Both satellite- and ground-based data show a similar weekly cycle, with lower NO2 levels during the weekend compared to the weekdays as result of reduced emissions from traffic and industrial activities. Also the seasonal cycle shows a similar behavior, even though the results are affected by the fact that most of the data are available during spring-summer because of cloud cover in other seasons. This is one of few works in which OMI NO2 retrievals are evaluated in an urban site at high latitudes (60N). Despite the city of Helsinki having relatively small pollution sources, OMI retrievals have proved to be able to describe air quality features and variability similar to surface observations. This adds confidence in using satellite observations for air quality monitoring also at high latitudes.

The effects of de-icing in Helsinki urban streams, southern Finland.

PubMed

Ruth, O

2003-01-01

The environmental effects of road salt have been studied in Finland mainly in order to monitor and reduce groundwater contamination. In urban areas the road salt used for road maintenance in winter ends up in the storm water drains and receiving water bodies. We report here on water samples taken in 1998-1999 from three urban streams with catchments varying in area 1.7 to 24.4 km2 in different parts of the City of Helsinki. Despite efforts to reduce the amount of road salt, high concentrations were found in the urban stream water. Sudden variations in water quality were very marked during the spring flood period, with sodium and chloride concentrations varying over nine-fold within one day. Some 35-50% of the salt used on the roads in Helsinki passes into natural streams and from there into the sea. The significant positive correlation between NaCl and dissolved zinc in stream water was observed. The results show that it is important to monitor water quality, especially at the beginning of the spring flood period, when road salt and other contaminant levels are markedly high in urban streams.

Survivability Using Controlled Security Services

DTIC Science & Technology

2005-06-01

California, Irvine. ear complexities of either (or both) group public key size or signature size with respect to the number of group mem - bers. These...troduced leak-freedom and immediate-revocation. Correctness: any signature produced by any group mem - ber using Sign must be accepted by Verify...can only convince one or more appointed verifiers of its mem - bership, while no other party can verify membership even if the signer cooperates fully

Joint associations of smoking and physical activity with disability retirement: a register-linked cohort study.

PubMed

Lallukka, Tea; Rahkonen, Ossi; Lahelma, Eero; Lahti, Jouni

2015-07-29

We examined the risk of disability retirement by smoking and physical activity, and particularly whether the risk due to smoking is affected by the level of physical activity. Additionally, the contribution of baseline health, sociodemographic and work-related factors to the joint associations of smoking and physical activity with disability retirement was considered. Cohort study. Helsinki, Finland. Employees of the City of Helsinki, aged 40-60 years at baseline in 2000-2002, were followed up using complete register data from the Finnish Centre of Pensions until the end of 2010 (n=6390, with a consent to register linkage from 74%). All-cause disability retirement (ICD-10). Altogether, 608 employees (9.5%) retired due to disability during the follow-up. Cox regression models were fitted to examine the joint associations of smoking and physical activity with subsequent disability retirement. Never-smokers, ex-smokers and moderate smokers who were inactive or moderately active had an increased risk of disability retirement, but if they were vigorously active, they had no excess risk. Instead, all heavy smokers (15 or more cigarettes per day among women, and 20 or more among men), irrespective of physical activity, had an increased risk of disability retirement. The examined associations attenuated but remained for ex-smokers and heavy smokers after adjustments for gender, age, socioeconomic position, mental and physical workload, problem drinking, body mass index and self-rated health. No gender interactions were found. Vigorous physical activity might help prevent disability retirement not only among never-smokers, but even among ex-smokers and moderate smokers. However, among heavy smokers, physical activity is not sufficient to eliminate the adverse effects of smoking on health and work ability. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study.

PubMed

Sadeniemi, Minna; Almeda, Nerea; Salinas-Pérez, Jose A; Gutiérrez-Colosía, Mencía R; García-Alonso, Carlos; Ala-Nikkola, Taina; Joffe, Grigori; Pirkola, Sami; Wahlbeck, Kristian; Cid, Jordi; Salvador-Carulla, Luis

2018-05-31

Mental health services (MHS) have gone through vast changes during the last decades, shifting from hospital to community-based care. Developing the optimal balance and use of resources requires standard comparisons of mental health care systems across countries. This study aimed to compare the structure, personnel resource allocation, and the productivity of the MHS in two benchmark health districts in a Nordic welfare state and a southern European, family-centered country. The study is part of the REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care) project. The study areas were the Helsinki and Uusimaa region in Finland and the Girona region in Spain. The MHS were mapped by using the DESDE-LTC (Description and Evaluation of Services and Directories for Long Term Care) tool. There were 6.7 times more personnel resources in the MHS in Helsinki and Uusimaa than in Girona. The resource allocation was more residential-service-oriented in Helsinki and Uusimaa. The difference in mental health personnel resources is not explained by the respective differences in the need for MHS among the population. It is important to make a standard comparison of the MHS for supporting policymaking and to ensure equal access to care across European countries.

Forensic age assessment of asylum seekers in Finland.

PubMed

Metsäniitty, Mari; Varkkola, Olli; Waltimo-Sirén, Janna; Ranta, Helena

2017-01-01

In Finland, forensic age assessment is strictly regulated by legislation. According to the Aliens Act (301/2004) and the amendment of the Act (549/2010), the police authorities, the frontier guard authorities, and the immigration authorities have the right to refer asylum seekers to the University of Helsinki, Department of Forensic Medicine, for age assessment. These assessments are especially performed to solve if the person is of major age, the cutoff being 18 completed years. The forensic age assessment is largely based on dental development, since the special permit of the Radiation and Nuclear Safety Authority (STUK) to the Department of Forensic Medicine of the University of Helsinki, allowing the use of ionizing radiation for non-medical purposes, includes dental and hand X-rays. Forensic age assessment is always performed by two forensic odontologists. In 2015, the total number of forensic age assessment examinations was 149, and the countries of origin of the asylum seekers were most commonly Iraq, Afghanistan, and Somalia. The current legislation on forensic age assessment has been well received and approved. Radiological and other examinations can be performed in different parts of Finland, but the forensic odontologist at the University of Helsinki is always involved in the process and ensures joint quality standards for the forensic age assessment.

Health effects caused by primary fine particulate matter (PM2.5) emitted from buses in the Helsinki metropolitan area, Finland.

PubMed

Tainio, Marko; Tuomisto, Jouni T; Hänninen, Otto; Aarnio, Päivi; Koistinen, Kimmo J; Jantunen, Matti J; Pekkanen, Juha

2005-02-01

Fine particle (PM(2.5)) emissions from traffic have been associated with premature mortality. The current work compares PM(2.5)-induced mortality in alternative public bus transportation strategies as being considered by the Helsinki Metropolitan Area Council, Finland. The current bus fleet and transportation volume is compared to four alternative hypothetical bus fleet strategies for the year 2020: (1) the current bus fleet for 2020 traffic volume, (2) modern diesel buses without particle traps, (3) diesel buses with particle traps, and (4) buses using natural gas engines. The average population PM(2.5) exposure level attributable to the bus emissions was determined for the 1996-1997 situation using PM(2.5) exposure measurements including elemental composition from the EXPOLIS-Helsinki study and similar element-based source apportionment of ambient PM(2.5) concentrations observed in the ULTRA study. Average population exposure to particles originating from the bus traffic in the year 2020 is assumed to be proportional to the bus emissions in each strategy. Associated mortality was calculated using dose-response relationships from two large cohort studies on PM(2.5) mortality from the United States. Estimated number of deaths per year (90% confidence intervals in parenthesis) associated with primary PM(2.5) emissions from buses in Helsinki Metropolitan Area in 2020 were 18 (0-55), 9 (0-27), 4 (0-14), and 3 (0-8) for the strategies 1-4, respectively. The relative differences in the associated mortalities for the alternative strategies are substantial, but the number of deaths in the lowest alternative, the gas buses, is only marginally lower than what would be achieved by diesel engines equipped with particle trap technology. The dose-response relationship and the emission factors were identified as the main sources of uncertainty in the model.

Health education: historic windows of opportunity.

PubMed

Grant, J P

1992-01-01

In 1991, the Executive Director of UNICEF addressed the World Conference on Health Education in Helsinki, Finland which centered on international cooperation in improving health. Health educators should convince world leaders to apply the money available after reductions in military spending due to the end of the Cold War toward revitalizing health and education systems and alleviating poverty. Another opportunity that they should not let slip away is that more countries are choosing democracy. The international consensus is now leaning toward human centered development. At least 71 national leaders and representatives from 88 other countries have supported the World Summit Plan of Action which emphasizes health education efforts leading toward child survival. This global, political endorsement also presents a plan for social mobilization. Health educators have already contributed greatly to the success of achieving universal child immunization (80%) by the end of 1990. They communicated health education messages via the mass media and traditional channels to motivate individuals and society to immunize their children. UNICEF has 27 goals for the 1990s such as eradication of polio and guinea worm disease. In 1989, UNICEF, WHO, UNESCO, and about 100 other agencies began the Facts for Life initiative by 1st publishing a book. Lay and professional health educators have incorporated its messages into various media: street theater, radio, comics, soap operas, billboards, T-shirts, and bumper stickers. Medical research has shown that individual responsibility for one's own health adds years to life expectancy, e.g., individuals should not smoke. Health educators face the challenge of reaching adolescents, especially since most behavior patterns are established during adolescence. Other challenges include developing effective messages to curb the AIDS pandemic, to motivate hospitals to promote breast feeding, and to encourage world leaders to place children's needs at the top of society's priorities.

Leading through Stories

ERIC Educational Resources Information Center

Grove, Kathleen F.

2015-01-01

Drawing on her experiences as a school leader addressing groups of (sometimes skeptical) teachers, colleagues, and parents, Grove describes how she used storytelling to engage, inspire, and convince listeners. She gives examples of five things telling well-chosen anecdotes will help you do when communicating with educators and families: (1)…

An airborne remote sensing platform of the Helsinki University of Technology

DOE Office of Scientific and Technical Information (OSTI.GOV)

Nikulainen, M.; Hallikainen, M.; Kemppinen, M.

1996-10-01

In 1994 Helsinki University of Technology acquired a Short SC7 Skyvan turboprop aircraft to be modified to carry remote sensing instruments. As the aircraft is originally designed to carry heavy and space consuming cargo, a modification program was implemented to make the aircraft feasible for remote sensing operations. The twelve-month long modification program had three design objectives: flexibility, accessibility and cost efficiency. The aircraft interior and electrical system were modified. Furthermore, the aircraft is equipped with DGPS-navigation system, multi-channel radiometer system and side looking airborne radar. Future projects include installation of local area network, attitude GPS system, imaging spectrometer andmore » 1.4 GHz radiometer. 6 refs., 5 figs., 1 tab.« less

Is There Convincing Evidence that Intermediate Repeats in the HTT Gene Cause Huntington's Disease?

PubMed

Oosterloo, Mayke; Van Belzen, Martine J; Bijlsma, Emilia K; Roos, Raymund A C

2015-01-01

Huntington's disease (HD) is a neurodegenerative disease associated with a CAG repeat expansion in the Huntingtin (HTT) gene. A trinucleotide size between 27 and 35 is considered 'intermediate' and not to cause symptoms and signs of HD. There are articles claiming otherwise, however publishing only the cases that have a HD phenotype introduces a significant publication bias. Our objective is to determine if there is convincing evidence that intermediate repeats (IA) cause HD. Previously published case reports on HTT intermediate repeat sizes and all cases from the Netherlands with an IA were reviewed for clinical symptoms and signs. Four patients had a clinical presentation of Huntington's disease and an IA out of ten reported cases in literature. Between 2001 and 2012, 1,690 patients were tested for HD in the Netherlands. One case out of 60 with an IA had a phenotype resembling HD, but had already been published in a case report. Given the high background frequency of intermediate alleles in several populations, the possibility of developing HD would have huge implications for 1-7% of the normal population. It is possible that IAs present as an endophenotype with the potential of subsequent clinical manifestations. However, given the scarcity of convincing cases, the lack of convincing biological evidence for pathogenicity of intermediate alleles, and many genes still to be discovered for HD mimics, we find that it is premature to claim that IAs can cause HD. We recommend systematic follow up of this group of individuals and if possible brain pathology for confirmation or exclusion of HD.

Using the Film JFK To Teach Critical Thinking.

ERIC Educational Resources Information Center

Bassham, Gregory; Nardone, Henry

1997-01-01

A college instructional module uses the film "JFK" and related reading materials to convince even the less motivated students that reasoning abilities can be of significant personal and public value. Small groups are assigned presentations based on research and readings. Student response has been enthusiastic and the technique has been…

A Network Design Approach to Countering Terrorism

DTIC Science & Technology

2015-09-01

2003). More and more scale-free networks have been discovered. How can such diverse systems have the same architecture and properties? Part of the...Rabei Ousmane Sayed Ahmed (a.k.a. the Egyptian ) convinced the group to pursuit jihad at home, where they had the material resources to act (Atran, 2010

Effectiveness of a Television Counter Advertisement.

ERIC Educational Resources Information Center

Lull, James T.; Mulac, Anthony

This paper investigates the potential effectiveness of counter advertising in influencing the buying habits of a convinced audience. One month before the actual study, 109 subjects indicated a brand preference in a consumer questionnaire. The subjects were randomly assigned to groups that viewed one of the following: (1) a pro-Bayer aspirin…

An Aristotelian view of therapists' practice in multifamily therapy for young adults with severe eating disorders.

PubMed

Brinchmann, Berit Støre; Moe, Cathrine; Valvik, Mildrid Elisabeth; Balmbra, Steven; Lyngmo, Siri; Skarbø, Tove

2017-01-01

Eating disorders are serious conditions which also impact the families of adult patients. There are few qualitative studies of multifamily therapy with adults with severe eating disorders and none concerning the practice of therapists in multifamily therapy. The aim of the study is to explore therapists' practice in multifamily therapy. Research design and participants: A grounded theory approach was chosen. Data were collected through participant observation in two multifamily therapy groups and qualitative interviews with the therapists in those groups. Ethical considerations: The study conforms to the principles outlined in the Declaration of Helsinki. All participants in the multifamily therapy groups received information about the research project and signed consent forms. The data are treated confidentially and anonymised. The core category was identified as 'having many strings to one's bow', consisting of three subcategories: 'planning and readjusting', 'developing as therapist and team' and 'regulating the temperature of the group'. This article discusses the empirical findings in the frame of Aristotelian virtue ethics.

Research ethics on the agenda - the debates preceding the establishment of the ethics committees.

PubMed

Paulsen, Nadia Shad; Lie, Anne Kveim

2016-11-01

BACKGROUND This article examines two factors that helped to trigger and drive forward the debate about research ethics committees (now the Regional Committees for Medical and Health Research Ethics) in Norway in the 1970s: the revision of the Declaration of Helsinki by a Scandinavian working group, and the unfolding of the so-called Gro case in the Norwegian national media.METHOD We have used existing literature in the form of books and articles on the history of research ethics from the University Library of the University of Oslo, the National Library of Norway, the History of Science, Technology and Medicine database, and Retriever. We have manually reviewed issues of the Dagbladet daily newspaper from 1974, and relevant volumes of the Journal of the Norwegian Medical Association from the 1960s and 1970s. Finally, we have used the archives of the Norwegian Association of Higher Education Institutions, and the Faculty of Social Sciences at the University of Oslo.RESULTS The World Medical Association's revision of the Declaration of Helsinki in 1975 stipulated the use of independent ethics committees for the assessment and supervision of research projects. The Gro case, which concerned the testing of behavioural therapeutic treatment on a young girl resident in an institution and the ensuing public debate, led to a demand from the public for closer monitoring and ethical regulation of research activity.INTERPRETATION Both of the events mentioned were used actively in the argumentation and preparatory work for the establishment of research ethics committees.

Improving psychology students' attitudes toward people with schizophrenia: A quasi-randomized controlled study.

PubMed

Magliano, Lorenza; Rinaldi, Angela; Costanzo, Regina; De Leo, Renata; Schioppa, Giustina; Petrillo, Miriam; Read, John

2016-01-01

Despite scientific evidence that the majority of people with schizophrenia (PWS) have personal histories of traumatic life events and adversities, their needs for psychological support often remain unmet. Poor availability of nonpharmacological therapies in schizophrenia may be partly because of professionals' attitudes toward people diagnosed with this disorder. As future health professionals, psychology students represent a target population for efforts to increase the probability that PWS will be offered effective psychological therapies. This quasi-randomized controlled study investigated the effect of an educational intervention, addressing common prejudices via scientific evidence and prerecorded audio-testimony from PWS, on the attitudes of psychology students toward PWS. Students in their fifth year of a master's degree in Psychology at the Second University of Naples, Italy were randomly assigned to an experimental group-which attended two 3-hr sessions a week apart-or to a control group. Compared with their baseline assessment, at 1-month reassessment the 76 educated students endorsed more psychosocial causes and more of them recommended psychologists in the treatment of schizophrenia. They were also more optimistic about recovery, less convinced that PWS are recognizable and unpredictable, and more convinced that treatments, pharmacological and psychological, are useful. No significant changes were found, from baseline to 1-month reassessment, in the 112 controls. At 1-month reassessment, educated students were more optimistic about recovery and less convinced that PWS are unpredictable than controls. These findings suggest that psychology students' attitudes toward PWS can be improved by training initiatives including education and indirect contact with users. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Sources and elemental composition of ambient PM(2.5) in three European cities.

PubMed

Vallius, M; Janssen, N A H; Heinrich, J; Hoek, G; Ruuskanen, J; Cyrys, J; Van Grieken, R; de Hartog, J J; Kreyling, W G; Pekkanen, J

2005-01-20

Source apportionment of urban fine particle mass (PM(2.5)) was performed from data collected during 1998-1999 in Amsterdam (The Netherlands), Erfurt (Germany) and Helsinki (Finland), using principal component analysis (PCA) and multiple linear regression. Six source categories of PM(2.5) were identified in Amsterdam. They were traffic-related particles (30% of the average PM(2.5)), secondary particles (34%), crustal material (7%), oil combustion (11%), industrial and incineration processes (9%), and sea salt (2%). The unidentified PM(2.5) fraction was 7% on the average. In Erfurt, four source categories were extracted with some difficulties in interpretation of source profiles. They were combustion emissions related to traffic (32%), secondary PM (32%), crustal material (21%) and industrial processes (8%). In Erfurt, 3% of PM(2.5) remained unidentified. Air pollution data and source apportionment results from the two Central European cities were compared to previously published results from Helsinki, where about 80% of average PM(2.5) was attributed to transboundary air pollution and particles from traffic and other regional combustion sources. Our results indicate that secondary particles and local combustion processes (mainly traffic) were the most important source categories in all cities; their impact on the average PM(2.5) was almost equal in Amsterdam and Erfurt whereas, in Helsinki, secondary particles made up for as much as half of the total average PM(2.5).

Epistemic Schemes and Epistemic States. a Study of Mathematics Convincement in Elementary School Classes

ERIC Educational Resources Information Center

Rigo-Lemini, Mirela

2013-01-01

The paper introduces an interpretative framework that contains a characterization of "epistemic schemes" (constructs that are used to explain how class agents themselves are able to gain convincement in or promote convincement of mathematical statements) and "epistemic states" (a person's internal states, such as…

Current food classifications in epidemiological studies do not enable solid nutritional recommendations for preventing diet-related chronic diseases: the impact of food processing.

PubMed

Fardet, Anthony; Rock, Edmond; Bassama, Joseph; Bohuon, Philippe; Prabhasankar, Pichan; Monteiro, Carlos; Moubarac, Jean-Claude; Achir, Nawel

2015-11-01

To date, observational studies in nutrition have categorized foods into groups such as dairy, cereals, fruits, and vegetables. However, the strength of the association between food groups and chronic diseases is far from convincing. In most international expert surveys, risks are most commonly scored as probable, limited, or insufficient rather than convincing. In this position paper, we hypothesize that current food classifications based on botanical or animal origins can be improved to yield solid recommendations. We propose using a food classification that employs food processes to rank foods in epidemiological studies. Indeed, food health potential results from both nutrient density and food structure (i.e., the matrix effect), both of which can potentially be positively or negatively modified by processing. For example, cereal-based foods may be more or less refined, fractionated, and recombined with added salt, sugars, and fats, yielding a panoply of products with very different nutritional values. The same is true for other food groups. Finally, we propose that from a nutritional perspective, food processing will be an important issue to consider in the coming years, particularly in terms of strengthening the links between food and health and for proposing improved nutritional recommendations or actions. © 2015 American Society for Nutrition.

Current Food Classifications in Epidemiological Studies Do Not Enable Solid Nutritional Recommendations for Preventing Diet-Related Chronic Diseases: The Impact of Food Processing12

PubMed Central

Fardet, Anthony; Rock, Edmond; Bassama, Joseph; Bohuon, Philippe; Prabhasankar, Pichan; Monteiro, Carlos; Moubarac, Jean-Claude; Achir, Nawel

2015-01-01

To date, observational studies in nutrition have categorized foods into groups such as dairy, cereals, fruits, and vegetables. However, the strength of the association between food groups and chronic diseases is far from convincing. In most international expert surveys, risks are most commonly scored as probable, limited, or insufficient rather than convincing. In this position paper, we hypothesize that current food classifications based on botanical or animal origins can be improved to yield solid recommendations. We propose using a food classification that employs food processes to rank foods in epidemiological studies. Indeed, food health potential results from both nutrient density and food structure (i.e., the matrix effect), both of which can potentially be positively or negatively modified by processing. For example, cereal-based foods may be more or less refined, fractionated, and recombined with added salt, sugars, and fats, yielding a panoply of products with very different nutritional values. The same is true for other food groups. Finally, we propose that from a nutritional perspective, food processing will be an important issue to consider in the coming years, particularly in terms of strengthening the links between food and health and for proposing improved nutritional recommendations or actions. PMID:26567188

Team Learning: New Insights Through a Temporal Lens.

PubMed

Lehmann-Willenbrock, Nale

2017-04-01

Team learning is a complex social phenomenon that develops and changes over time. Hence, to promote understanding of the fine-grained dynamics of team learning, research should account for the temporal patterns of team learning behavior. Taking important steps in this direction, this special issue offers novel insights into the dynamics of team learning by advocating a temporal perspective. Based on a symposium presented at the 2016 Interdisciplinary Network for Group Research (INGRoup) Conference in Helsinki, the four empirical articles in this special issue showcase four different and innovative approaches to implementing a temporal perspective in team learning research. Specifically, the contributions highlight team learning dynamics in student teams, self-managing teams, teacher teams, and command and control teams. The articles cover a broad range of methods and designs, including both qualitative and quantitative methodologies, and longitudinal as well as micro-temporal approaches. The contributors represent four countries and five different disciplines in group research.

Age-dependent interaction of apolipoprotein E gene with eastern birthplace in Finland affects severity of coronary atherosclerosis and risk of fatal myocardial infarction--Helsinki Sudden Death Study.

PubMed

Tyynelä, Petri; Goebeler, Sirkka; Ilveskoski, Erkki; Mikkelsson, Jussi; Perola, Markus; Lehtimäki, Terho; Karhunen, Pekka J

2013-05-01

Mortality from coronary heart disease (CHD) has been constantly higher in eastern late settlement regions compared to western early settlements in Finland, unrelated to classical risk factors. In line with this, eastern birthplace was an age-dependent predictor of severe coronary atherosclerosis and pre-hospital sudden coronary death among male residents of Helsinki. We investigated a possible interaction of apolipoprotein E (APOE) gene with birthplace on the risk of myocardial infarction (MI) and coronary atherosclerosis. APOE genotypes were analyzed in the Helsinki Sudden Death Study series comprising out-of-hospital deaths among males aged 33-70 years (n = 577), who were born in high (east, n = 273) or low (west, n = 304) CHD mortality area. Eastern-born men ≤ 55 years carried 30% more often (P = 0.017) and older men 40% less often (P = 0.022) the APOE ϵ4 allele compared to western-born men (P = 0.003 for birthplace-by-age interaction). In multivariate analysis, the ϵ4 allele associated with the risk of out-of-hospital MI (odds ratio 2.58; 95% CI 1.20-5.55; P = 0.016) only in eastern-born men and with advanced atherosclerosis in both regions of origin, respectively. Birthplace-bound risk of CHD was age-dependently modified by APOE ϵ4 allele, suggesting genetic differences in CHD susceptibility between early and late settlement regions in Finland and providing one explanation for the eastern high mortality.

The lifelong socioeconomic disadvantage of single-mother background - the Helsinki Birth Cohort study 1934-1944.

PubMed

Mikkonen, H Maiju; Salonen, Minna K; Häkkinen, Antti; Olkkola, Maarit; Pesonen, Anu-Katriina; Räikkönen, Katri; Osmond, Clive; Eriksson, Johan G; Kajantie, Eero

2016-08-18

Growing up with one parent is associated with economic hardship and health disadvantages, but there is limited evidence of its lifetime consequences. We examined whether being born to an unmarried mother is associated with socioeconomic position and marital history over the lifespan. We analysed data from the Helsinki Birth Cohort Study including birth, child welfare clinic and school healthcare records from people born in Helsinki, Finland, between 1934 and 1944. Using a unique personal identification number, we linked these data to information on adult socioeconomic position from census data at 5-year intervals between 1970 and 2000, obtained from Statistics Finland. Compared to children of married mothers, children of unmarried mothers were more likely to have lower educational attainment and occupational status (odds ratio for basic vs. tertiary education 3.40; 95 % confidence interval 2.17 to 5.20; for lowest vs. highest occupational category 2.75; 1.92 to 3.95). They were also less likely to reach the highest income third in adulthood and more likely to stay unmarried themselves. The associations were also present when adjusted for childhood socioeconomic position. Being born to an unmarried mother, in a society where marriage is the norm, is associated with socioeconomic disadvantage throughout life, over and above the disadvantage associated with childhood family occupational status. This disadvantage may in part mediate the association between low childhood socioeconomic position and health in later life.

Anxiety about environmental hazards among teenagers in Helsinki, Moscow and Tallinn.

PubMed

Hokka, P; Palosuo, H; Zhuravleva, I; Pärna, K; Mussalo-Rauhamaa, H; Lakomova, N

1999-08-30

Comparative research of environmental attitudes has concentrated on adults of Western countries, whereas knowledge of environmental consciousness of East European people is modest. This article compares anxiety that teenagers in Helsinki, Moscow and Tallinn express about environmental hazards and their health effects. The data (Helsinki, N = 1396; Moscow, N = 618; Tallinn, N = 1268) were collected in schools by questionnaires from pupils between 13 and 18 years in 1994-1995. Air pollution, water pollution and survival of plant and animal species were considered most worrying environmental threats in every city. Environmental concern was usually highest in Moscow, but the effects of pollution on an individual's health worried Estonian teenagers most. The worry was most consistent in Moscow, where sex, class level or opinion of the state of one's own living environment did not usually have an effect on attitudes. Finnish girls and pupils in higher school classes were environmentally more conscious than boys or younger teenagers. In Tallinn, the sex and age differences in worry were smaller. Environmental worry seemed to have connections to a general sense of responsibility and risk behaviour such as heavy drinking and smoking. For all sites those pupils who often throw empty packages onto the street or into the nature expressed lower environmental concern than their more responsible peers. The differences of worry between the cities were difficult to interpret, but the greater total concern of young Muscovites may be part of their general social anxiety, which is associated with the instability of the Russian society.

Prenatal care and counseling of female drug-abusers: effects on drug abuse and perinatal outcome.

PubMed

Kukko, H; Halmesmäki, E

1999-01-01

To evaluate the efficacy of a specific counseling and withdrawal program for drug-abusing pregnant women and its effect on perinatal outcome. An analysis of 120 pregnancies followed in 111 drug-abusing women giving birth at the Department of Obstetrics and Gynecology, Helsinki University Central Hospital, in 1985-95. Personnel responsible for local maternity care in the Helsinki area were trained to identify pregnant drug-abusers and to refer them to our hospital for clinical antenatal care and counseling with psychological and social support. Substance abuse during pregnancy was monitored by self-report and serial urine screenings. Obstetric and perinatal outcome were compared between those who succeeded in quitting totally or reducing drug use, and those who continued their drug use throughout pregnancy. The significance of the differences was tested by Student's unpaired t-test and binomial t-test. Of the women, 62% registered before the 20th week of pregnancy and 32% during the 20th-29th week of pregnancy (mean 18.4+/-6.6 weeks). Twelve women were admitted to an obstetric ward for withdrawal. In 73 of the 120 (61%) pregnancies the woman succeeded either in quitting totally or reducing drug abuse. Among this group, incidence of preterm birth (4.1%) was smaller (p<0.001), and gestational age (39.8+/-2.2 weeks) and birth weight (3393+/-605 gr) higher (p<0.05) than those (19.6%, 38.3+/-3.4 wk and 3049+/-728 gr, respectively) in the group continuing their drug abuse. Additionally, the percentage of normal delivery (80.8%) was higher (p<0.05), and incidence of withdrawal symptoms (19.2%), lower (p<0.001) than for those who continued drug abuse (65.2% and 47.8%, respectively). Carefully monitored counseling program for pregnant drug abusers is effective in reducing the amount of drugs used and improves perinatal outcome.

Proceedings: second Lake States forest tree improvement conference

Treesearch

Lake States Forest Experiment Station

1955-01-01

I am firmly convinced that the Lake States Forest Tree Improvement Committee, and similar groups in other regions, can play an important role in encouraging and coordinating research and other activities in forest genetics. As this new field of work continues to expand, which it assuredly will, it will become of increasing importance to maintain close liaison among the...

Ciênsação: Gaining a Feeling for Sciences

ERIC Educational Resources Information Center

de Oliveira, Marcos Henrique Abreu; Fischer, Robert

2017-01-01

Ciênsação, an open online repository for hands-on experiments, has been developed to convince teachers in Latin America that science is best experienced first hand. Permitting students to experiment autonomously in small groups can be a challenging endeavour for educators in these countries. We analyse the reasons that cause hesitation of teachers…

More Boys Wanted in Upstate New York

ERIC Educational Resources Information Center

Robinson, Matt

2010-01-01

In spite of the popularity of TV shows like "American Idol" and "Glee," it can still be hard to convince boys that singing is cool. Therefore, choir directors who would like more boys to join their groups have their work cut out for them. Erin Belanger, music teacher at Stockbridge Valley central School in Munnsville, New York…

Why the CLASH model is an unconvincing evolutionary theory of crime.

PubMed

Boutwell, Brian B; Winegard, Bo

2017-01-01

The CLASH model is not convincing for two reasons. First, it ignores prior research proposing very similar ideas in a more compelling fashion. Second, it dismisses the role of genetic factors in shaping criminal propensities across population groups, opting for a facultative view of life history evolution that does not seem to square with current evidence.

Effects of convincing power and neutrality on minority opinion spreading

NASA Astrophysics Data System (ADS)

Wu, Yue; Xiong, Xi; Zhang, Yi

2017-02-01

The dynamics evolution of the minority opinion in public debates is studied using a convincing power (CP) model with neutrality. In a given group, an agent with a definite standpoint (yes or no) can be persuaded to be a neutral agent, if its capacity of persuasion is lower than the average CP of its opponents. Besides that a neutral agent will change its state and follow a more persuasive opinion. Starting from two opposite opinions with different rates, repeated local discussions are found to drive the minority reversal. It reveals that in addition to the initial minority, the number of neutral agents is also an important factor to the eventual winners. During the process of consensus, there exists a threshold of initial fraction to guarantee one side win. The results have a guiding significance for designing strategies to win a public debate.

76 FR 43346 - Notice Pursuant to the National Cooperative Research and Production Act of 1993; Open Mobile...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-20

..., Dubendorf, Switzerland; Eurofins Product Service GmbH, Reichenwalde, Germany; Expway, Paris, France..., Inc., Nashua, NH; SEVEN, Helsinki, Finland; SFR, Paris, France; Sintesio, Foundation, Bled, SLOVENIA...

[Not Available].

PubMed

Huber, Machteld; van Vliet, Marja; Boer, Inge

2016-01-01

A new, dynamic concept of health, which aims to convince critics of the static WHO definition of 1948, was based on an invitational conference in 2009. The concept highlights function, resilience and self-direction. This general concept of health was further elaborated in a follow-up study aiming towards operationalization, and involving Dutch healthcare stakeholder groups. The study revealed a number of differences between the opinions of stakeholder groups about the concept of health and, following the perception of patients, resulted in the broad concept of 'positive health' with six dimensions.

Methylobacillus pratensis sp. nov., a novel non-pigmented, aerobic, obligately methylotrophic bacterium isolated from meadow grass.

PubMed

Doronina, Nina V; Trotsenko, Yuri A; Kolganova, Tatjana V; Tourova, Tatjana P; Salkinoja-Salonen, Mirja S

2004-09-01

Strain F31T was isolated from meadow grass (Poa trivialis L.) sampled from the city park in Helsinki. Analysis of phenotypic and genotypic properties showed the strain to be related to the group of obligately methylotrophic non-methane utilizing bacteria (methylobacteria) with the ribulose monophosphate pathway of formaldehyde assimilation. Phylogenetic analysis showed the strain to be closely related to the genus Methylobacillus, and analysis of fatty acid composition confirmed this association. Thus, on the basis of its genotypic and phenotypic properties, the isolate is proposed as a novel species of the genus Methylobacillus, Methylobacillus pratensis sp. nov., with F31T as the type strain (= VKM B-2247T = NCIMB 13994T).

Toll-like receptors 3, 7, and 9 in Juvenile nasopharyngeal angiofibroma.

PubMed

Renkonen, Suvi; Cardell, Lars-Olaf; Mattila, Petri; Lundberg, Marie; Haglund, Caj; Hagström, Jaana; Mäkitie, Antti A

2015-05-01

Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign tumor affecting adolescent males. The etiology of JNA as well as the causes determining the variable growth patterns of individual tumors remains unknown. Toll-like receptors (TLRs) are part of the innate immune response to microbes; by recognition of distinct features, they link to induction of pro-inflammatory signaling pathways. We immunostained TLR 3, 7, and 9 in 27 JNA specimens of patients treated at the Helsinki University Central Hospital, Helsinki, Finland, during the years 1970-2009. TLR 3, 7, and 9 expressions were found in stromal and endothelial cells of JNA, and their expression levels varied from negative to very strong positive. TLR 3 expression was found to have a significant correlation with the clinical stage of JNA. The present results propose a putative role of TLRs in the growth process of JNA. © 2015 APMIS. Published by John Wiley & Sons Ltd.

The research ethics evolution: from Nuremberg to Helsinki.

PubMed

Dhai, A

2014-03-01

Health research sets out to acquire not only theoretical knowledge but also benefits for many people and often society as a whole, and is therefore justified. The quandary, though, is how such an important, shared purpose can be pursued with full protection of individuals and communities, in particular those with vulnerabilities. Abuses in the field surfaced in the early 1800s, and by the 1890s, anti-vivisectionists were calling for laws to protect children because of the increasing numbers of institutionalised children being subjected to unethical research. When read together, the Nuremberg Code and the Universal Declaration of Human Rights can be interpreted as establishing a basis for underpinning the principles of free and informed consent and avoiding harms and exploitation in scientific experiments involving human participants. The Declaration of Helsinki has been recognised as one of the most authoritative statements on ethical standards for human research in the world.

[Bribes in health care and the patients' opinions].

PubMed

Masopust, V

1989-07-01

In May 1988 in the North Bohemian region an anonymous enquiry was made in which 3,767 respondents participated. The enquiry was focused among others on the problem of bribes in the health services. In the paper the author analyzes views of respondents why they give "small gifts" to health workers and why they assume that the patients get better treatment when they bribe. The reason for making "small gifts" or bribes is in 31.3% to manifest appreciation of treatment, in 27.7% an attempt to obtain better treatment and in 7.1% fear of receiving no treatment. People above 45 years, pensioners, employees of the services and chronic patients are more convinced of the positive motive of making "small gifts". Almost 10% of the entire group are convinced of the effect of bribes as a stimulant for provision of better care, 49% deny it and the remainder do not know. The most critically minded patient groups are those working in industry and respondents under 30 years. From the entire group 1.57% admitted making "small gifts", i.e. 59 of 3,767 respondents, the motive of almost half of them (42.3%) was appreciation of the care provided by the attending staff. An unequivocal bribe to obtain better care or fear that care will be refused was involved in 45.8% of the "bribing group". The views of patients who admitted "small gifts" as regards the health services are worse than the views of all respondents.(ABSTRACT TRUNCATED AT 250 WORDS)

The association between alcohol drinking and self-reported mental and physical functioning: a prospective cohort study among City of Helsinki employees.

PubMed

Salonsalmi, Aino; Rahkonen, Ossi; Lahelma, Eero; Laaksonen, Mikko

2017-05-04

Alcohol drinking is associated with ill health but less is known about its contribution to overall functioning. We aimed to examine whether alcohol drinking predicts self-reported mental and physical functioning 5-7 years later. A prospective cohort study. Helsinki, Finland. 40-year-old to 60-year-old employees of the City of Helsinki (5301 women and 1230 men) who participated in a postal survey in 2000-2002 and a follow-up survey in 2007. Mental and physical functioning measured by the Short Form 36 Health Survey. Alcohol drinking was differently associated with mental and physical functioning. Heavy average drinking, binge drinking and problem drinking were all associated with subsequent poor mental functioning except for heavy average drinking among men, whereas only problem drinking was associated with poor physical functioning. Also, non-drinking was associated with poor physical functioning. Problem drinking was the drinking habit showing most widespread and strongest associations with health functioning. The associations between problem drinking and poor mental functioning and with poor physical functioning among women remained after adjusting for baseline mental functioning, sociodemographic factors, working conditions and other health behaviours. Alcohol drinking is associated especially with poor mental functioning. Problem drinking was the drinking habit strongest associated with poor health functioning. The results call for early recognition and prevention of alcohol problems in order to improve health functioning among employees. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Climate Change and Professional Responsibility: A Declaration of Helsinki for Engineers.

PubMed

Lawlor, Rob; Morley, Helen

2017-10-01

In this paper, we argue that the professional engineering institutions ought to develop a Declaration of Climate Action. Climate change is a serious global problem, and the majority of greenhouse gas emissions come from industries that are enabled by engineers and represented by the engineering professional institutions. If the professional institutions take seriously the claim that a profession should be self-regulating, with codes of ethics that go beyond mere obedience to the law, and if they take their own ethical codes seriously, recognising their responsibility to the public and to future generations (and also recognising a duty of "responsible leadership"), the professional institutions ought to develop a declaration for engineers, addressing climate change. Our argument here is largely inspired by the history of the Declaration of Helsinki. The Declaration of Helsinki was created by the medical profession for the profession, and it held physicians to a higher standard of ethical conduct than was found in the legal framework of individual countries. Although it was not originally a legal document, the influence of the Declaration can be seen in the fact that it is now enshrined in law in a number of different countries. Thus, we argue that the engineering profession could, and should, play a significant role in the abatement of climate change by making changes within the profession. If the engineering profession sets strict standards for professional engineers, with sanctions for those who refuse to comply, this could have a significant impact in relation to our efforts to develop a coordinated response to climate change.

Senegal: Background and U.S. Relations

DTIC Science & Technology

2011-03-25

Economic Sectors: fishing, tourism , groundnuts (peanuts), phosphates, cotton Ethnic Groups: Wolof 43.3%, Fulbe 23.8%, Serer 14.7%, Jola 3.7%, Mandinka...convinced some observers that the electoral system retained a potential for fairness. Concerns Over Political Trends Following his election in 2000...and claimed he was therefore entitled to a 35% cut of future related tourism revenues. The statue, reportedly partly financed by North Korea, was

Geography Education: Applying Spatial Aspects to Everyday Life: American Association of Geographers Geography Education Specialty Group

ERIC Educational Resources Information Center

Wessell, Jonathan E.

2016-01-01

Throughout his career teaching geography, Johnathan Wessell has always stressed to his students that they already knew a lot about geography before they entered his classroom. He writes in this article that once he convinces his students of this, they begin to realize that geography is all around them, and that they, in turn, begin to shift their…

Educational differences in disability retirement among young employees in Helsinki, Finland.

PubMed

Sumanen, Hilla; Rahkonen, Ossi; Pietiläinen, Olli; Lahelma, Eero; Roos, Eira; Lahti, Jouni

2016-04-01

Disability retirement (DR) among young employees is an increasing problem affecting work life and public health, given the potential major loss of working time. Little is known about educational differences in the risk of DR among young employees, despite the need for such knowledge in targeting preventive measures. We examined the association between education and DR due to any cause and to mental and non-mental causes among young employees. Personnel register data of the City of Helsinki from the years 2002-2013 for 25-to-34-year-old employees (n= 41225) were linked to register data from the Finnish Centre for Pensions on DR (n= 381), and from Statistics Finland on education. Education was categorised into four hierarchical groups. The mean follow-up time was 5.7 years. Cox regression analysis was used. There were 381 DR events and of the events, over 70% were due to mental disorders and 72% were temporary. A consistent educational gradient was found. Those with a basic education were at the highest risk of DR due to any cause (HR 4.64, 95% CI 3.07, 7.02), and to mental (HR 4.79, 95% CI 2.89, 7.94) and non-mental causes (HR 4.32, 95% CI 2.10, 8.91). DR due to any cause, and to mental and non-mental causes, followed a clear educational gradient. Early intervention, treatment and rehabilitation with a view to maintaining work ability are needed among young employees, especially those with low education. Adapting working conditions to their health and work ability may also help to avoid premature exit from work. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Sources and chemical composition of atmospheric fine and coarse particles in the Helsinki area

NASA Astrophysics Data System (ADS)

Pakkanen, Tuomo A.; Loukkola, Kati; Korhonen, Christina H.; Aurela, Minna; Mäkelä, Timo; Hillamo, Risto E.; Aarnio, Päivi; Koskentalo, Tarja; Kousa, Anu; Maenhaut, Willy

During April 1996-June 1997 size-segregated atmospheric aerosol particles were collected at an urban and a rural site in the Helsinki area by utilising virtual impactors (VI) and Berner low-pressure impactors (BLPI). In addition, VI samples were collected at a semi-urban site during October 1996-May 1997. The average PM 2.3 (fine particle) concentrations at the urban and rural sites were 11.8 and 8.4 μg/m 3, and the PM 2.3-15 (coarse particle) concentrations were 12.8 and about 5 μg/m 3, respectively. The difference in fine particle mass concentrations suggests that on average, more than one third of the fine mass at the urban site is of local origin. Evaporation of fine particle nitrate from the VI Teflon filters during sampling varied similarly at the three sites, the average evaporation being about 50-60%. The average fine particle concentrations of the chemical components (25 elements and 13 ions) appeared to be fairly similar at the three sites for most components, which suggests that despite the long-range transport, the local emissions of these components were relatively evenly distributed in the Helsinki area. Exceptions were the average fine particles Ba, Fe, Sb and V concentrations that were clearly highest at the urban site pointing to traffic (Ba, Fe, Sb) and to combustion of heavy fuel oil (V) as the likely local sources. The average coarse particle concentrations for most components were highest at the urban site and lowest at the rural site. Average chemical composition of fine particles was fairly similar at the urban and rural sites: non-analysed fraction (mainly carbonaceous material and water) 43% and 37%, sulphate 21% and 25%, crustal matter 12% and 13%, nitrate 12% and 11%, ammonium 9% and 10% and sea-salt 2.5% and 3.2%, respectively. At the semi-urban site also, the average fine particle composition was similar. At the urban site, the year round average composition of coarse particles was dominated by crustal matter (59%) and the non-analysed components (28%, mainly carbonaceous material and water), while the other contributions were much lower: sea-salt 7%, nitrate 4% and sulphate 2%. At the rural site, the coarse samples were collected in spring and summer and the percentage was clearly lower for crustal matter (37%) and sea-salt (3%) but higher for the not-analysed fraction (51%). At the semi-urban site, the average composition of coarse particles was nearly identical to that at the urban site. Correlations between the chemical components were calculated separately for fine and coarse particles. In urban fine particles sulphate, ammonium, Tl, oxalate and PM 2.3 mass correlated with each other and originated mainly from long-range transport. The sea-salt ions Na +, Cl - and Mg 2+ formed another group and still another group was formed by the organic anions oxalate, malonate, succinate, glutarate and methane sulphonate. Ni and V correlated strongly pointing to combustion of heavy fuel oil as the likely source. In addition, some groups with lower correlations were detected. At the rural and semi-urban sites, the correlating components were rather similar to those at the urban site, although differences were also observed.

Training managers for primary health care.

PubMed

Kekki, P

1994-01-01

The University of Helsinki has devised a powerful in-service training course for managers of health centres. By working together at the University and their own centres on setting objectives, analysing data and solving problems, the participants greatly enhance their management and teamwork skills.

Infiltration of ambient PM 2.5 and levels of indoor generated non-ETS PM 2.5 in residences of four European cities

NASA Astrophysics Data System (ADS)

Hänninen, O. O.; Lebret, E.; Ilacqua, V.; Katsouyanni, K.; Künzli, N.; Srám, R. J.; Jantunen, M.

Ambient fine particle (PM 2.5) concentrations are associated with premature mortality and other health effects. Urban populations spend a majority of their time in indoor environments, and thus exposures are modified by building envelopes. Ambient particles have been found to penetrate indoors very efficiently (penetration efficiency P≈1.0), where they are slowly removed by deposition, adsorption, and other mechanisms. Other particles are generated indoors, even in buildings with no obvious sources like combustion devices, cooking, use of aerosol products, etc.. The health effects of indoor generated particles are currently not well understood, and require information on concentrations and exposure levels. The current work apportions residential PM 2.5 concentrations measured in the EXPOLIS study to ambient and non-ambient fractions. The results show that the mean infiltration efficiency of PM 2.5 particles is similar in all four cities included in the analysis, ranging from 0.59 in Helsinki to 0.70 in Athens, with Basle and Prague in between. Mean residential indoor concentrations of ambient particles range from 7 (Helsinki) to 21 μg m -3 (Athens). Based on PM 2.5 decay rates estimated in the US, estimates of air exchange rates and indoor source strengths were calculated. The mean air exchange rate was highest in Athens and lowest in Prague. Indoor source strengths were similar in Athens, Basle and Prague, but lower in Helsinki. Some suggestions of possible determinants of indoor generated non-ETS PM 2.5 were acquired using regression analysis. Building materials and other building and family characteristics were associated with the indoor generated particle levels. A significant fraction of the indoor concentrations remained unexplained.

Sources of fine particulate matter in personal exposures and residential indoor, residential outdoor and workplace microenvironments in the Helsinki phase of the EXPOLIS study.

PubMed

Koistinen, Kimmo J; Edwards, Rufus D; Mathys, Patrick; Ruuskanen, Juhani; Künzli, Nino; Jantunen, Matti J

2004-01-01

This study assessed the source contributions to the mass concentrations of fine particles (PM2.5) in personal exposures and in residential indoor, residential outdoor, and workplace indoor microenvironments of the nonsmoking adult population unexposed to environmental tobacco smoke in Helsinki, Finland. The elemental composition of 48-hour personal exposure and residential indoor, residential outdoor, and workplace indoor PM2.5 was analyzed by energy-dispersive X-ray fluorescence spectrometry for 76 participants not exposed to environmental tobacco smoke and 102 participating residences with no smoking in Helsinki as a part of the EXPOLIS study. Subsequently, a principal component analysis was used to identify the emission sources of PM2.5-bound elements and black smoke in each microenvironment, and this information was used to identify the corresponding sources in personal exposures. Finally, source reconstruction was done to determine the relative contributions of each source type to the total PM2.5 mass concentrations. Inorganic secondary particles, primary combustion, and soil were the dominant source types for the PM2.5 mass concentration in all the microenvironments and personal exposures. The ratio of the residential indoor-to-outdoor PM2.5 concentration was close to unity, but the corresponding elemental ratios and source contributions varied. Resuspension of soil dust tracked indoors was a much larger contributor to residential and workplace indoor PM2.5 than soil dust to residential outdoor PM2.5. Source contributions to personal PM2.5 exposures were best approximated by data from residential and workplace indoor microenvironments. Population exposure assessment of PM2.5, based on outdoor fixed-site monitoring, overestimates exposures to outdoor sources like traffic and long-range transport and does not account for the contribution of significant indoor sources.

Blogs, Cyber-Literature and Virtual Culture in Iran

DTIC Science & Technology

2007-12-01

convinced that the “problem” of the Islamic Republic can only be effectively solved in the interest of the international community if the initiative for a...in bringing about social and political change, it is helpful to observe its effectiveness in a sensitive area, namely that of independent public...which authors can express a variety of views and opinions free from any “homogenizing” editorial scrutiny and censorship . The group

Toll-Like Receptor Pathway as Mediator of Bisphosphonate Effects in Breast Cancer

DTIC Science & Technology

2005-07-01

Hematology-Oncology, Birmingham, AL 35294-3300, U.S.A 2University of Helsinki, Institute of Dentistry , Department of Oral and Maxillofacial Diseases...at Birmingham, Comprehensive Cancer Center, Biostatistics and Bioinformatics Unit 5Veterans Affairs Hospital, *Send all correspondence to Dr. Katri

A joint resolution calling upon the President to issue a proclamation recognizing the 35th anniversary of the Helsinki Final Act.

THOMAS, 111th Congress

Sen. Cardin, Benjamin L. [D-MD

2010-08-02

Senate - 12/21/2010 Placed on Senate Legislative Calendar under General Orders. Calendar No. 726. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Fast scaffolding with small independent mixed integer programs

PubMed Central

Salmela, Leena; Mäkinen, Veli; Välimäki, Niko; Ylinen, Johannes; Ukkonen, Esko

2011-01-01

Motivation: Assembling genomes from short read data has become increasingly popular, but the problem remains computationally challenging especially for larger genomes. We study the scaffolding phase of sequence assembly where preassembled contigs are ordered based on mate pair data. Results: We present MIP Scaffolder that divides the scaffolding problem into smaller subproblems and solves these with mixed integer programming. The scaffolding problem can be represented as a graph and the biconnected components of this graph can be solved independently. We present a technique for restricting the size of these subproblems so that they can be solved accurately with mixed integer programming. We compare MIP Scaffolder to two state of the art methods, SOPRA and SSPACE. MIP Scaffolder is fast and produces better or as good scaffolds as its competitors on large genomes. Availability: The source code of MIP Scaffolder is freely available at http://www.cs.helsinki.fi/u/lmsalmel/mip-scaffolder/. Contact: leena.salmela@cs.helsinki.fi PMID:21998153

Non-exhaust emission measurement system of the mobile laboratory SNIFFER

NASA Astrophysics Data System (ADS)

Pirjola, L.; Kupiainen, K. J.; Perhoniemi, P.; Tervahattu, H.; Vesala, H.

In this paper we describe and quality assure the sampling system of a mobile research laboratory SNIFFER which was shown to be a useful tool for studying emission levels of respirable dust from street surfaces. The dust plume had bimodal structure; another mode rising to higher altitudes whereas the other mode remained at lower altitudes. The system was tested on a route in Helsinki, Finland, during spring 2005 and 2006. The PM 2.5 and PM 10 were positively correlated and the PM levels increased with the vehicle speed. SNIFFER was able to identify the characteristic emission levels on different streets. A clear downward trend in the concentrations was observed in all street locations between April and June. The composition of the street dust collected by SNIFFER was compared with springtime PM 10 aerosol samples from the air quality monitoring stations in Helsinki. The results showed similarities in the abundance and composition of the mineral fraction but contained significantly more salt particles.

Low-temperature TCT characterization of heavily proton irradiated p-type magnetic Czochralski silicon detectors

NASA Astrophysics Data System (ADS)

Härkönen, J.; Tuovinen, E.; Luukka, P.; Kassamakov, I.; Autioniemi, M.; Tuominen, E.; Sane, P.; Pusa, P.; Räisänen, J.; Eremin, V.; Verbitskaya, E.; Li, Z.

2007-12-01

n +/p -/p + pad detectors processed at the Microelectronics Center of Helsinki University of Technology on boron-doped p-type high-resistivity magnetic Czochralski (MCz-Si) silicon substrates have been investigated by the transient current technique (TCT) measurements between 100 and 240 K. The detectors were irradiated by 9 MeV protons at the Accelerator Laboratory of University of Helsinki up to 1 MeV neutron equivalent fluence of 2×10 15 n/cm 2. In some of the detectors the thermal donors (TD) were introduced by intentional heat treatment at 430 °C. Hole trapping time constants and full depletion voltage values were extracted from the TCT data. We observed that hole trapping times in the order of 10 ns were found in heavily (above 1×10 15 n eq/cm 2) irradiated samples. These detectors could be fully depleted below 500 V in the temperature range of 140-180 K.

22 CFR 181.2 - Criteria.

Code of Federal Regulations, 2010 CFR

2010-04-01

... binding, are not international agreements. An example of the latter is the Final Act of the Helsinki... by the law of any foreign state, are not international agreements for these purposes. For example, a.... Determinations are made pursuant to § 181.3. Examples of arrangements that may constitute international...

22 CFR 181.2 - Criteria.

Code of Federal Regulations, 2014 CFR

2014-04-01

... binding, are not international agreements. An example of the latter is the Final Act of the Helsinki... by the law of any foreign state, are not international agreements for these purposes. For example, a.... Determinations are made pursuant to § 181.3. Examples of arrangements that may constitute international...

22 CFR 181.2 - Criteria.

Code of Federal Regulations, 2011 CFR

2011-04-01

... binding, are not international agreements. An example of the latter is the Final Act of the Helsinki... by the law of any foreign state, are not international agreements for these purposes. For example, a.... Determinations are made pursuant to § 181.3. Examples of arrangements that may constitute international...

22 CFR 181.2 - Criteria.

Code of Federal Regulations, 2013 CFR

2013-04-01

... binding, are not international agreements. An example of the latter is the Final Act of the Helsinki... by the law of any foreign state, are not international agreements for these purposes. For example, a.... Determinations are made pursuant to § 181.3. Examples of arrangements that may constitute international...

22 CFR 181.2 - Criteria.

Code of Federal Regulations, 2012 CFR

2012-04-01

... binding, are not international agreements. An example of the latter is the Final Act of the Helsinki... by the law of any foreign state, are not international agreements for these purposes. For example, a.... Determinations are made pursuant to § 181.3. Examples of arrangements that may constitute international...

JPRS Report, Soviet Union, World Economy & International Relations, No. 5, May 1988

DTIC Science & Technology

1988-10-06

here: playing on the feelings of national pride and patriotism, the incitement of jingoism, chauvinism and hostility toward other peoples and so...state, which brought states of an opposite nature in the class respect into direct conflict. However, this argument does not, we are convinced...sometimes serves as virtually the main argument designed to explain the foreign policy unity of this group of states or the other. Such characteristics

West Europe Report

DTIC Science & Technology

1987-04-07

are convinced that nothing less will do. The group’s destiny is largely bound up with the automobile and with Europe, and it is therefore...given that Fiat primarily represents automobiles in people’s minds. In the past this sector was very important for Turin, especially while it held...no trifling affair. In 1987 Fiat automobile will produce profits of 20 trillion (it will thus by itself be about one and a half times the size of

To Determine the Impact of OPMS on the Development of Commanders.

DTIC Science & Technology

1982-04-19

and training policies are designed to promote the development of leadership , managerial, and technical skills.5 In spite of the foregoing, there is...corps into commanders and staff, with the in- evitable consequence of each group convinced the other does not under- stand its problems . Further, the...developing leadership skills needed to effec- tively command troops* Caterory Label Combat Arms Combat Support Combat Svc Spt Strongly agree/agree 65% 58

VQone MATLAB toolbox: A graphical experiment builder for image and video quality evaluations: VQone MATLAB toolbox.

PubMed

Nuutinen, Mikko; Virtanen, Toni; Rummukainen, Olli; Häkkinen, Jukka

2016-03-01

This article presents VQone, a graphical experiment builder, written as a MATLAB toolbox, developed for image and video quality ratings. VQone contains the main elements needed for the subjective image and video quality rating process. This includes building and conducting experiments and data analysis. All functions can be controlled through graphical user interfaces. The experiment builder includes many standardized image and video quality rating methods. Moreover, it enables the creation of new methods or modified versions from standard methods. VQone is distributed free of charge under the terms of the GNU general public license and allows code modifications to be made so that the program's functions can be adjusted according to a user's requirements. VQone is available for download from the project page (http://www.helsinki.fi/psychology/groups/visualcognition/).

Soil quality monitoring: Examples of existing protocols

Treesearch

Daniel G. Neary; Carl C. Trettin; Deborah Page-Dumroese

2010-01-01

Many forestry and agricultural agencies and organizations worldwide have developed soil monitoring and quality standards and guidelines to ensure future sustainability of land management. These soil monitoring standards are typically developed in response to international initiatives such as the Montreal Process, the Helsinki Ministerial Conference,or in support of...

Soil quality monitoring: examples of existing protocols

Treesearch

Daniel G. Neary; Carl C. Trettin; Deborah Page-Dumroese

2010-01-01

Many forestry and agricultural agencies and organizations worldwide have developed soil monitoring and quality standards and guidelines to ensure future sustainability of land management. These soil monitoring standards are typically developed in response to international initiatives such as the Montreal Process, the Helsinki Ministerial Conference, or in support of...

Ice Formation in Frequently Transited Navigation Channels

DTIC Science & Technology

1990-12-01

measurements made at different sec- The propellers were driven by a 186-W electric tions in the monitoring area. The measurements motor, which is visible in...321. Navigation ConferenceandExhibitionattheFinlandia Mellor, M., Vance, G.P., Wuebben, J.C. and G.E. Hall, Helsinki, Finland, p. 1021-103E Frankenstein

Integrated Language Education--A Means of Enhancing Engineers' Social Competences

ERIC Educational Resources Information Center

Lappalainen, P.

2010-01-01

The changes facing industries are necessitating a concomitant change in university curriculum. Before instigating a reform, however, education providers need to acquire an understanding of the most pertinent development needs essential for filling industrial competence gaps. The Language Centre at the Helsinki University of Technology in Finland…

Using Johnson Distribution for Automatic Threshold Setting in Wind Turbine Condition Monitoring System

DTIC Science & Technology

2014-12-23

what the data in- dicate the most appropriate family is, such as in the work done by (Marhadi, Venkataraman , & Pai, 2012). However, having the data...diagnostic engineering management (coma- dem). Helsinki, Finland. Marhadi, K., Venkataraman , S., & Pai, S. S. (2012). Quan- tifying uncertainty in

Report on Outcomes of Empirical Studies

ERIC Educational Resources Information Center

Morch, Anders; Nygard, Kathrine; Andersen, Renate; Mushtaq, Shazia; Nedic, Damir; Olsen, Espen; Hauge, Trond Eiliv; Vedoy, Gunn; Norenes, Svein Olav; Moen, Anne; Nes, Sturle; Olsen, Dorothy S.; Ludvigsen, Sten; Toiviainen, Hanna; Lallimo, Jiri; Toikka, Seppo; Paavola, Sami; Pohjola, Pasi; Hakkarainen, Kai

2009-01-01

This deliverable has been produced in the context of the Knowledge-Practice Laboratory (KP-Lab) project. KP-Lab focuses on innovative practices of working with knowledge in higher education, teacher training, and workplaces. Participants of WP10 are University of Helsinki, University of Oslo and Poyry Forest Industry representing both researchers…

Impact of peatland restoration on nutrient and carbon leaching from contrasting sites in southern Finland

NASA Astrophysics Data System (ADS)

Vasander, Harri; Sallantaus, Tapani; Koskinen, Markku

2010-05-01

Impacts of peatland restoration on nutrient and carbon leaching from contrasting sites in southern Finland Tapani Sallantaus1, Markku Koskinen2, Harri Vasander2 1)Finnish Environment Institute, Biodiversity unit, Box 140, FIN-00251 Helsinki, Finland, tapani.sallantaus@ymparisto.fi 2)Department of Forest Sciences, University of Helsinki, Box 27, FIN-00014 University of Helsinki, Finland, markku.koskinen@helsinki.fi, harri.vasander@helsinki.fi Less than 20 % of the original mire area of southern Finland is still in natural state. Even many peatlands in today's nature conservation areas had been partly or totally drained before conservation. Until now, about 15000 ha of peatlands have been restored in conservation areas. Here we present data concerning changes in leaching due to restoration in two contrasting areas in southern Finland. The peatlands in Seitseminen have originally been fairly open, growing stunted pine, and unfertile, either bogs or poor fens. The responses of tree stand to drainage in the 1960s were moderate, and the tree stand before restoration was about 50 m3/ha, on average. The trees were partly harvested before filling in the ditches mainly in the years 1997-1999 . The peatlands of Nuuksio are much more fertile than those in Seitseminen, and had greatly responded to drainage, which took place already in the 1930s and 1950s. The tree stand consisted mainly of spruce and exceeded 300 m3/ha in large part of the area. The ditches were dammed in the autumn 2001 and the tree stand was left standing. Runoff water quality was monitored in three basins in both areas. To obtain the leaching rates, we used simulated runoff data obtained from the Finnish Environment Institute, Hydrological Services Division. The responses in leaching were in the same direction in both cases. However, especially when calculated per restored hectare (Table 1), the responses were much stronger in the more fertile areas of Nuuksio for organic carbon and nitrogen, but not so much with phosphorus. The reasons for the greater responses in Nuuksio are partly hydrological. The mires are minerogenic, catchment fed mires, and by restoration the peat layers regain their contact with the waters from the catchment. This is not the case with the bogs of Seitseminen and of less importance in the poor fens with a small catchment. Also biological reasons exist. The peat layers have changed much more in the fertile peatlands of Nuuksio. Moreover, the living biomass is much larger in Nuuksio, and due to restoration this biomass is inundated and consequently exposed to anaerobia. This has caused death of the forest species, release of bound nutrients, and gradual colonization by mires species leading to renewed bounding of nutrients. Restoration of drained peatlands is a positive action, but harmful water impacts should be avoided. This urges for hydrological knowledge in the planning and accomplishing phases. Table 1. Annual unrestored leaching rates of organic carbon, nitrogen and phosphorus in the study sites, and increase in leaching as a sum of 6 post-restoration years, calculated per restored mire area. Site Unrestored leaching g C m-2 a-1 Increase in leaching g C m-2 6a-1 Unrestored leaching g N m-2 a-1 Increase in leaching g N m-2 6a-1 Unrestored leaching g P m-2 a-1 Increase in leaching g P m-2 6a-1 Seitseminen 10.5 58 0.19 1.18 0.009 0.21 Nuuksio 5.3 107 0.13 2.54 0.004 0.18

Cognitive conflict as a teaching strategy in solving chemistry problems: A dialectic-constructivist perspective

NASA Astrophysics Data System (ADS)

Niaz, Mansoor

The main objective of this study was to evaluate the effect of teaching experiments within a dialectic-constructivist framework based on the following considerations: (a) Cognitive conflicts used in the teaching experiments must be based on problem-solving strategies that students find relatively convincing: (b) after having generated a cognitive conflict, it is essential that the students be provided with an experience that could facilitate the resolution of the conflict; and (c) the teaching strategy developed is used by an interactive constructivist approach within an intact classroom. The study was based on two sections of freshman students who had registered for Chemistry I at the Universidad de Oriente, Venezuela. One of the sections was randomly designated as the control group and the other as the experimental group. To introduce cognitive conflict, the experimental group was exposed to two teaching experiments dealing with stoichiometry problems based on the concept of limiting reagent. Students in the control group were exposed to the same problems - however, without the cognitive conflict teaching experiments format. To evaluate the effect of the teaching experiments, both groups were evaluated on five different problems at different intervals during the semester, referred to as posttests. All posttests formed part of the regular evaluation of the students. Results obtained show the advantage of the experimental group on four of the posttests. It is concluded that the experimental treatment was effective in improving performance on the immediate posttests. It was observed that some students protect their core belief [see Lakatos, I. (1970). Falsification and the methodology of scientific research programmes. In I. Lakatos & A. Musgrave (Eds.), Criticism and the growth of knowledge (pp. 91-196). Cambridge: Cambridge University Press] in stoichiometry (establishing equivalent relations between different elements or compounds) by ignoring the conflicting data, just as conflicting (anomalous) data do not necessarily convince a scientist to abandon a particular theory.Received: 23 September 1993; Revised: 29 August 1994;

[Clinical use of interventional MR imaging].

PubMed

Kahn, Thomas; Schulz, Thomas; Moche, Michael; Prothmann, Sascha; Schneider, Jens-Peter

2003-01-01

The integration of diagnostic and therapeutic procedures by MRI is based on the combination of excellent morphologic and functional imaging. The spectrum of MR-guided interventions includes biopsies, thermal ablation procedures, vascular applications, and intraoperative MRI. In all these applications, different scientific groups have obtained convincing results in basic developments as well as in clinical use. Interventional MRI (iMRI) is expected to attain an important role in interventional radiology, minimal invasive therapy, and monitoring of surgical procedures.

Attitudes towards war, killing, and punishment of children among young people in Estonia, Finland, Romania, the Russian Federation, and the USA.

PubMed Central

McAlister, A.; Sandström, P.; Puska, P.; Veijo, A.; Chereches, R.; Heidmets, L. T.

2001-01-01

OBJECTIVE: To study the cultural differences in moral disengagement, which lends support to attitudes used to justify violence. METHODS: We carried out classroom surveys of a total of 3122 students in the USA (Houston, TX, and Washington, DC) and in four European countries--Estonia (Tartu), Finland (Helsinki), Romania (Satu Mare) and the Russian Federation (St Petersburg). Data were also taken from a random sample telephone survey of 341 young adults (aged 18-35 years) in Texas, USA. Ten distinct groups were studied. Seven questions were common to all the surveys, using identical statements about the participants' agreement with attitudes relating to war, diplomacy, killing, and the punishment of children. FINDINGS: The US students were more likely than those in Europe to agree with the following statements: "War is necessary" (20% vs 9%), "A person has the right to kill to defend property" (54% vs 17%), and "Physical punishment is necessary for children" (27% vs 10%). Justification of war and killing was less common among females than males in all groups; other differences within the US groups and the European groups were smaller than the differences between the US and European groups. CONCLUSION: The results confirm the gap between the US and European groups in moral disengagement attitudes and tendencies that could lead to deadly violence. PMID:11417032

Effects of Visceral Fat Accumulation Awareness on a Web-Based Weight-Loss Program: Japanese Study of Visceral Adiposity and Lifestyle Information-Utilization and Evaluation (J-VALUE).

PubMed

Sakane, Naoki; Dohi, Seitaro; Sakata, Koichi; Hagiwara, Shin-Ichi; Morimoto, Toshihisa; Uchida, Takanobu; Katashima, Mitsuhiro; Yanagisawa, Yoshiko; Yasumasu, Takeshi; Study Group, J-Value

2013-01-01

A reduction of visceral fat is important for improvement of metabolic risk. This study was designed to compare the effects of a web-based program alone or together with measurement and self-awareness of accumulated visceral fat in Japanese workers. A new noninvasive device to measure visceral fat accumulation was introduced, and efficacy on weight-loss and improvement of healthy behaviors were examined. This study was conducted according to Helsinki declaration and approved by the ethical committee of Japan Hospital Organization, National Kyoto Hospital. Two-hundred and sixteen overweight and obese males with BMI of more than 23 participated from 8 healthcare offices of 3 Japanese private companies. Subjects were randomly allocated into control group, Web-based weight-loss program (Web), or Web + Visceral fat measurement group (Web + VFA). Eighty-one percent of participants completed the study. Reductions of body weight, waist circumference, and BMI were the largest in Web + VFA group, and the differences between groups were significant by ANOVA. Improvements of healthy behaviors were the largest in Web + VFA group, and the differences of healthy eating improvement scores between Web + VFA and control groups were significant. Our findings suggest that measurement and awareness of visceral fat are effective in weight reduction in overweight and obese males in the workplace.

Clinical group supervision for integrating ethical reasoning: Views from students and supervisors.

PubMed

Blomberg, Karin; Bisholt, Birgitta

2016-11-01

Clinical group supervision has existed for over 20 years in nursing. However, there is a lack of studies about the role of supervision in nursing students' education and especially the focus on ethical reasoning. The aim of this study was to explore and describe nursing students' ethical reasoning and their supervisors' experiences related to participation in clinical group supervision. The study is a qualitative interview study with interpretative description as an analysis approach. A total of 17 interviews were conducted with nursing students (n = 12) who had participated in clinical group supervision in their first year of nursing education, and with their supervisors (n = 5). The study was based on the ethical principles outlined in the Declaration of Helsinki, and permission was obtained from the Regional Ethical Review Board in Sweden. The analysis revealed that both the form and content of clinical group supervision stimulated reflection and discussion of handling of situations with ethical aspects. Unethical situations were identified, and the process uncovered underlying caring actions. Clinical group supervision is a model that can be used in nursing education to train ethical reflection and to develop an ethical competence among nursing students. Outcomes from the model could also improve nursing education itself, as well as healthcare organizations, in terms of reducing moral blindness and unethical nursing practice. © The Author(s) 2015.

Using a Research Instrument for Developing Quality at the University

ERIC Educational Resources Information Center

Parpala, Anna; Lindblom-Ylanne, Sari

2012-01-01

The University of Helsinki, along with the other European universities, is facing challenges for enhancing the quality of teaching and developing quality assurance systems with comparable criteria. To tackle these aims the university started to develop a student feedback system with a solid theoretical feedback and valuable practical implications.…

Is Learning Data in the Right Shape?

ERIC Educational Resources Information Center

Kelly, Anthony E.

2017-01-01

In this short thought-piece, I attempt to capture the type of freewheeling discussions I had with our late colleague, Mika Seppälä, a research mathematician from Helsinki. Mika, not being a psychometrician or learning scientist, was blissfully free from the design constraints that experts sometimes ingest, unwittingly. I also draw on delightful…

Investigations into the Instructional Process: X. Report of the DPA Helsinki, Phase One.

ERIC Educational Resources Information Center

Koskenniemi, Matti; Komulainen, Erkki

The research reported in this document represents efforts to search for the structure and dynamics of the instructional process itself. Without reliable knowledge of these basic facts, improvement of teacher education and the guidance of teachers would remain based on unsystematic experiences and speculation. In order to penetrate the structure…

Adult and Lifelong Learning as Tools for Organisational Adaptation and Change Management

ERIC Educational Resources Information Center

Laitinen, Ilpo

2015-01-01

Significant structural reforms of public administration are commencing in Finland from 2017. Firstly, municipalities and cities are being combined into larger entities. Secondly, five social-welfare and healthcare regions are to be created, with that level being responsible for arranging services in this field. Thirdly, the City of Helsinki is…

Information Resources Management. Nordic Conference on Information and Documentation (6th, Helsinki, Finland, August 19-22, 1985).

ERIC Educational Resources Information Center

Samfundet for Informationstjanst i Finland, Helsinki.

The 54 conference papers compiled in this proceedings include plenary addresses; reviews of Nordic databases; and discussions of documents, systems, services, and products as they relate to information resources management (IRM). Almost half of the presentations are in English: (1) "What Is Information Resources Management?" (Forest…

Quality through Networking--From Reactive Administration to Proactive Cooperation

ERIC Educational Resources Information Center

Karttu, Petri; Kiilunen, Liisa; Laulajainen, Tiina

2012-01-01

The Language Centre functions as an independent institute within the University of Helsinki. It provides services to all the faculties and units of the university by offering language services and doing its share in creating an international learning environment. Together, the Language Centre and the faculties have one goal in common, namely, a…

Aesthetic Literacy: Observable Phenomena and Pedagogical Applications for Mobile Lifelong Learning (mLLL)

ERIC Educational Resources Information Center

Sean, Michael; Ihanainen, Pekka

2015-01-01

This paper proposed a method for developing capacity for lifelong learning in open spaces, defined here as places without predefined learning structures or objectives, through the cultivation of aesthetic literacy. This discussion will be situated within fieldwork performed by the authors in Helsinki, Finland, and Tallinn, Estonia, in 2013. Based…

Distributed Leadership as Administrative Practice in Finnish Early Childhood Education and Care

ERIC Educational Resources Information Center

Kangas, Jonna; Venninen, Tuulikki; Ojala, Mikko

2016-01-01

In this article, we describe the professional development towards distributed leadership among different organizational levels in Finnish day care centres within the Helsinki metropolitan area. The aim of the study was to monitor the progress of professional development between educational administration and practitioners. The data was based on…

Balancing between Inspiration and Exhaustion: PhD Students' Experienced Socio-Psychological Well-Being

ERIC Educational Resources Information Center

Stubb, J.; Pyhalto, K.; Lonka, K.

2011-01-01

This paper explores doctoral students' experiences of their scholarly communities in terms of socio-psychological well-being. Further, the study examines how experiences were related to study engagement and to self-reported stress, exhaustion, and anxiety. Altogether 669 doctoral students from the University of Helsinki, Finland, responded a…

Active Learning in a Finnish Engineering University Course

ERIC Educational Resources Information Center

Larson, Debra; Ahonen, Anna-Maija

2004-01-01

This paper is a case study on the use of active learning techniques in an upper-level engineering course at the Helsinki University of Technology. The paper describes how these techniques were introduced and successfully used within the Finnish university classroom. The cultural subtext is explored and attention is given to teaching techniques…

The Social and Cultural Realization of Diversity: An Interview with Donal Carbaugh

ERIC Educational Resources Information Center

Berry, Michael

2009-01-01

This article presents an interview with Donal Carbaugh, a Professor of Communication at the University of Massachusetts (Amherst) and Chair of the International Studies Council (2004 to present). In 2007-2008, Carbaugh was Distinguished Fulbright Professor and Bicentennial Chair of American Studies at the University of Helsinki, Finland. He has…

Consolidating Pre-Service Physics Teachers' Subject Matter Knowledge Using Didactical Reconstructions

ERIC Educational Resources Information Center

Mäntylä, T.; Nousiainen, M.

2014-01-01

In the Department of Physics, University of Helsinki, there are advanced physics courses designed for the needs of pre-service physics teachers. The starting point is that after introductory and intermediate physics courses, pre-service physics teachers know laws and definitions but the knowledge is quite fragmented and does not form coherent…

Proceedings of the International Academy for Information Management (IAIM) Annual Conference (13th, Helsinki, Finland, December 11-13, 1998).

ERIC Educational Resources Information Center

Rogers, Camille, Ed.

The conference paper topics include: business and information technology (IT) education; knowledge management; teaching software applications; development of multimedia teaching materials; technology job skills in demand; IT management for executives; self-directed teams in information systems courses; a team building exercise to software…

Uniformity and Diversity in an Evolving University Federation

ERIC Educational Resources Information Center

Pratt, John

2013-01-01

In 2008, three universities of applied sciences in the Helsinki metropolitan area of Finland signed a partnership agreement to form the Federation of Universities of Applied Sciences (FUAS). In 2011 FUAS invited a small team of international experts to undertake a curriculum review of a sample of its programmes. This article reports some of the…

The Journal of Suggestive-Accelerative Learning and Teaching. Volume 4, Number 1, Spring 1979.

ERIC Educational Resources Information Center

Schuster, Donald, Ed.

1979-01-01

This volume presents articles on aspects of suggestive learning with emphasis on foreign language instruction. The following articles and reviews are included: (1) "Biofeedback in Holistic Education," by Larry O. Rouse; (2) "Report on the Helsinki Suggestopedia Seminar, June, 1978," by Kjell Weinius; (3) "Suggestology and…

Third Expert Consultation on RAMP (RAMP III) (Helsinki, Finland, September 13, 15 and 20, 1986). Final Report.

ERIC Educational Resources Information Center

United Nations Educational, Scientific and Cultural Organization, Paris (France). General Information Programme.

Organized for the United Nations Educational, Scientific, and Cultural Organization (Unesco) by contract with the International Council on Archives (ICA), this meeting concerning the Records and Archives Management Programme (RAMP) was attended by 14 experts invited from Unesco member countries. Following a brief introduction, summaries are…

Principles of neuroanesthesia in aneurysmal subarachnoid hemorrhage: The Helsinki experience.

PubMed

Randell, Tarja; Niemelä, Mika; Kyttä, Juha; Tanskanen, Päivi; Määttänen, Markku; Karatas, Ayse; Ishii, Keisuke; Dashti, Reza; Shen, Hu; Hernesniemi, Juha

2006-10-01

Aneurysmal subarachnoid hemorrhage is a devastating disease that is followed by a marked stress response affecting other organs besides the brain. The aim in the management of patients with aSAH is not only to prevent rebleedings by treating the aneurysm by either microneurosurgery or endovascular surgery, but also to evacuate acute space-occupying hematomas and to treat hydrocephalus. This review is based on the experience of the authors in the management of more than 7500 patients with aSAH treated in the Department of Neurosurgery at Helsinki University Central Hospital, Finland. The role of the neuroanesthesiologist together with the neurosurgeon may begin in the emergency department to assess and stabilize the general medical and neurologic status of the patients. Early preoperative management of patients in the NICU, prevention of rebleeding, and providing a slack brain during microneurosurgical procedures are further steps. Postoperative management, prevention, and treatment of possible medical complications and cerebrovascular spasm are as necessary as high-quality microsurgery. Multidisciplinary and professional teamwork is essential in the management of patients with cerebral aneurysms.

Personal carbon monoxide exposures of preschool children in Helsinki, Finland: levels and determinants

NASA Astrophysics Data System (ADS)

Alm, S.; Mukala, K.; Jantunen, M. J.

Personal CO exposures of 194 preschool children were measured with personal exposure monitors during a 24 week sampling period from fall 1990 to spring 1991 in Helsinki, Finland. Arithmetic mean of the maximum 1 and 8 h exposure levels were 6.0 and 3.3 mg m -3. The then Finnish ambient air quality guideline values for 1/8 h maximum CO level (30/10 mg m -3) were exceeded in 2/4% of the children's daily maximum 1/8 h exposure levels. Gas stove at home, parents, especially mother, smoking in the home, and living in high rise buildings — reflecting higher local population and traffic density — increased the children's CO exposures. The presence of a fireplace in the home was associated with decreased CO exposures. Father's high education reduced the children's CO exposure while mother's education level had no significant effect. The peak (15 min) exposure levels of the children commuting to day care center by car or bus were higher than those of the children who walked or came by bike.

The Council for International Organizations and Medical Sciences (CIOMS) guidelines on ethics of clinical trials.

PubMed

Macrae, Duncan J

2007-05-01

Numerous bodies from many countries, including governments, government regulatory departments, research organizations, medical professional bodies, and health care providers, have issued guidance or legislation on the ethical conduct of clinical trials. It is possible to trace the development of current guidelines back to the post-World War II Nuremburg war crimes trials, more specifically the "Doctors' Trial." From that trial emerged the Nuremburg Code, which set out basic principles to be observed when conducting research involving human subjects and which subsequently formed the basis for comprehensive international guidelines on medical research, such as the Declaration of Helsinki. Most recently, the Council for International Organizations and Medical Sciences (CIOMS) produced detailed guidelines (originally published in 1993 and updated in 2002) on the implementation of the principles outlined in the Declaration of Helsinki. The CIOMS guidelines set in an appropriate context the challenges of present-day clinical research, by addressing complex issues including HIV/AIDS research, availability of study treatments after a study ends, women as research subjects, safeguarding confidentiality, compensation for adverse events, as well guidelines on consent.

Electromagnetic and light scattering by nonspherical particles XV: Celebrating 150 years of Maxwell's electromagnetics

NASA Astrophysics Data System (ADS)

Macke, Andreas; Mishchenko, Michael I.

2016-07-01

The 15th Electromagnetic and Light Scattering Conference (ELS-XV) was held in Leipzig, Germany from 21 to 26 of June 2015 (Fig. 1). This conference built on the great success of the previous meetings held in Amsterdam (1995) [1], Helsinki (1997) [2], New York City (1998) [3], Vigo (1999), Halifax (2000) [4], Gainesville (2002) [5], Bremen (2003) [6], Salobreña (2005) [7], St. Petersburg (2006) [8], Bodrum (2007) [9], Hatfield (2008) [10], Helsinki (2010) [11], Taormina (2011) [12], and Lille [13] as well as the workshops held in Bremen (1996, 1998) and Moscow (1997). As usual, the main objective of this conference was to bring together scientists, engineers, and PhD students studying various aspects of electromagnetic scattering and to provide a relaxed atmosphere for in-depth discussion of theory, measurements, and applications. Furthermore, ELS-XV supported the United Nations "Year of Light" and celebrated the 150th anniversary of Maxwell's electromagnetics. Maxwell's paper on "A Dynamical Theory of the Electromagnetic Field" [14] was published in 1865 and has widely been acknowledged as one of the supreme achievements in the history of science.

The Occult Today: Why?

ERIC Educational Resources Information Center

Kessler, Gary E.

1975-01-01

Author offered some reflections on the "why" of the contemporary interest in the occult. He attempted to convince the reader that, if he or she has been surprised by the recent rise of occultism, sober reflection will dispell some fears and, perhaps, even convince him or her that occultism is not merely superstition. (Author/RK)

Social support and adjustment to cancer: reconciling descriptive, correlational, and intervention research.

PubMed

Helgeson, V S; Cohen, S

1996-03-01

Several research literatures are reviewed that address the associations of emotional, informational, and instrumental social support to psychological adjustment to cancer. Descriptive studies suggest that emotional support is most desired by patients, and correlational studies suggest that emotional support has the strongest associations with better adjustment. However, the evidence for the effectiveness of peer discussion groups aimed at providing emotional support is less than convincing. Moreover, educational groups aimed at providing informational support appear to be as effective as, if not more effective than, peer discussions. Reasons for inconsistencies between the correlational and intervention literatures are discussed, and future directions are outlined.

Dense downtown living more carbon intense due to higher consumption: a case study of Helsinki

NASA Astrophysics Data System (ADS)

Heinonen, Jukka; Kyrö, Riikka; Junnila, Seppo

2011-07-01

Hindering urban sprawl is one of the main goals for contemporary urban planning. Urban density is considered crucial in climate change mitigation since it reduces automobile dependence and decreases unit sizes, for example. This letter analyzes the effect of density in a city context. In the study the Finnish capital Helsinki is divided into two areas of different urban densities: the high density downtown area and the more scarcely populated suburbs. The study is a continuation of a recently published study on the implications of urban structure on carbon emissions, and analyzes further the main finding of the first study—that higher urban density might have negligible or even reverse effect on the per capita carbon emissions. Similarly to the previous study, a consumption based tiered hybrid life cycle assessment (LCA) approach is employed in order to produce a comprehensive assessment, free of territorial boundaries and system cutoffs typical of traditional LCAs. Based on the findings of the previous study, it is hypothesized that when assessing city level carbon dioxide emissions from a wider, consumer oriented LCA perspective, increased urban density may not necessarily reduce carbon emissions. Surprisingly, the study finds that carbon dioxide equivalent (CO2e) emissions are substantially higher in the dense downtown area than in the surrounding suburbs, which is suggested to imply that the increased consumption due to the higher standard of living increases emissions more than the higher density is able to reduce them. The results demonstrate that, while increasing urban density can be justified from a number of ecological, social and economic viewpoints, density is not necessarily a key parameter in the particular case of climate change. In cities like Helsinki, where wealth is concentrated in the downtown area, climate policies should give higher priority to the energy consumption of buildings, to alternative energy production and distribution modes, as well as to low carbon consumption within the city.

Sector structure of the interplanetary magnetic field in the second half of the 19th century inferred from ground-based magnetometers

NASA Astrophysics Data System (ADS)

Vokhmyanin, M.; Ponyavin, D. I.

2012-12-01

Interplanetary magnetic field (IMF) polarities can be inferred in the pre-satellite era using Svalgaard-Mansurov effect, according to which different IMF directions lead to different geomagnetic variations at polar stations. Basing on this effect we propose a method to derive a sector structure of the IMF when only ground based data are available. Details of the method and results have been presented in our recent paper: Vokhmyanin, M. V., and D. I. Ponyavin (2012), Inferring interplanetary magnetic field polarities from geomagnetic variations, J. Geophys. Res., 117, A06102, doi:10.1029/2011JA017060. Using data from eight stations: Sitka, Sodankyla, Godhavn, Lerwick, Thule, Baker Lake, Vostok and Mirny, we reconstructed sector structure back to 1905. The quality of inferring from 1965 to 2005 ranges between 78% and 90% depending on the used set of stations. Our results show both high success rate and good agreement with the well-known Russell-McPherron and Rosenberg-Coleman effects. In the current study we applied the technique to historical data of Helsinki observatory where digital versions of hourly geomagnetic components are available from 1844 to 1897. Helsinki station stopped operates at the beginning of 20th century. Thus, to create a model describing the local Svalgaard-Mansurov effect we analyzed data from Nurmijarvi station located near the same region. The success rate of reconstruction from 1965 to 2005 is around 82%. So we assume that the IMF polarities obtained for the period 1869-1889 have sufficient quality. Inferred sector structure at this time consists of two sectors typically for all declining phases of solar activity cycle. Catalogue of IMF proxies seem to be important in analyzing structure and dynamics of solar magnetic fields in the past.; Left: Bartels diagram of IMF sector structure inferred from Helsinki data. Right: sunspot number indicating solar cycles.

Chemical composition of fine particles in fresh smoke plumes from boreal wild-land fires in Europe.

PubMed

Saarnio, Karri; Aurela, Minna; Timonen, Hilkka; Saarikoski, Sanna; Teinilä, Kimmo; Mäkelä, Timo; Sofiev, Mikhail; Koskinen, Jarkko; Aalto, Pasi P; Kulmala, Markku; Kukkonen, Jaakko; Hillamo, Risto

2010-05-15

A series of smoke plumes was detected in Helsinki, Finland, during a one-month-lasting period in August 2006. The smoke plumes originated from wildfires close to Finland, and they were short-term and had a high particulate matter (PM) concentration. Physical and chemical properties of fine particles in those smokes were characterised by a wide range of real-time measurements that enabled the examination of individual plume events. Concurrently PM(1) filter samples were collected and analysed off-line. Satellite observations employing MODIS sensor on board of NASA EOS Terra satellite with the dispersion model SILAM and the Fire Assimilation System were used for evaluation of the emission fluxes from wildfires. The model predicted well the timing of the plumes but the predicted PM concentrations differed from the observed. The measurements showed that the major growth in PM concentration was caused by submicrometer particles consisting mainly of particulate organic matter (POM). POM had not totally oxidised during the transport based on the low WSOC-to-OC ratio. The fresh plumes were compared to another major smoke episode that was observed in Helsinki during April-May 2006. The duration and the source areas of the two episode periods differed. The episode in April-May was a period of nearly constantly upraised level of long-range transported PM and it was composed of aged particles when arriving in Helsinki. The two episodes had differences also in the chemical composition of PM. The mass concentrations of biomass burning tracers (levoglucosan, potassium, and oxalate) increased during both the episodes but different concentration levels of elemental carbon and potassium indicated that the episodes differed in the form of burning as well as in the burning material. In spring dry crop residue and hay from the previous season were burnt whereas in August smokes from smouldering and incomplete burning of fresh vegetation were detected. Copyright 2010 Elsevier B.V. All rights reserved.

Competence-Based Pharmacy Education in the University of Helsinki

PubMed Central

Katajavuori, Nina; Salminen, Outi; Vuorensola, Katariina; Huhtala, Helena; Vuorela, Pia; Hirvonen, Jouni

2017-01-01

In order to meet the expectations to act as an expert in the health care profession, it is of utmost importance that pharmacy education creates knowledge and skills needed in today’s working life. Thus, the planning of the curriculum should be based on relevant and up-to-date learning outcomes. In the University of Helsinki, a university wide curriculum reform called ‘the Big Wheel’ was launched in 2015. After the reform, the basic degrees of the university are two-cycle (Bachelor–Master) and competence-based, where the learning outcomes form a solid basis for the curriculum goals and implementation. In the Faculty of Pharmacy, this curriculum reform was conducted in two phases during 2012–2016. The construction of the curriculum was based on the most relevant learning outcomes concerning working life via high quality first (Bachelor of Science in Pharmacy) and second (Master of Science in Pharmacy) cycle degree programs. The reform was kicked off by interviewing all the relevant stakeholders: students, teachers, and pharmacists/experts in all the working life sectors of pharmacy. Based on these interviews, the intended learning outcomes of the Pharmacy degree programs were defined including both subject/contents-related and generic skills. The curriculum design was based on the principles of constructive alignment and new structures and methods were applied in order to foster the implementation of the learning outcomes. During the process, it became evident that a competence-based curriculum can be created only in close co-operation with the stakeholders, including teachers and students. Well-structured and facilitated co-operation amongst the teachers enabled the development of many new and innovative teaching practices. The European Union funded PHAR-QA project provided, at the same time, a highly relevant framework to compare the curriculum development in Helsinki against Europe-wide definitions of competences and learning outcomes in pharmacy education. PMID:28970441

The high vaginal swab in general practice: clinical correlates of possible pathogens.

PubMed

Dykhuizen, R S; Harvey, G; Gould, I M

1995-06-01

Clinical features, diagnosis and treatment of 286 women whose high vaginal swabs (HVS) submitted by their general practitioners showed pure, heavy growth of Staphylococcus aureus, beta haemolytic streptococci groups A, C or G, Streptococcus milleri, Streptococcus pneumoniae or Haemophilus influenzae were analysed. Women with group A, C and G streptococci frequently had clinical vulvovaginitis and although the numbers were too small for statistical confirmation, S. pneumoniae and H. influenzae appeared to cause clinical disease as well. The association of S. aureus or S. milleri with clinical vulvovaginitis was much less convincing. It seems relevant for laboratories to report sensitivities for group A, C and G streptococci. Further research is needed to determine the pathogenicity of S. pneumoniae and H. influenzae.

[Job stress and well-being of care providers: development of a standardized survey instrument].

PubMed

Kivimäki, M; Lindström, K

1992-01-01

The main aim was to develop a standardized survey instrument for measuring job stress and well-being in hospital settings. The actual study group consisted of 349 workers from medical bed wards, first aid unit wards and bed wards for gynecology and obstetrics in a middle-sized hospital in the Helsinki region. Based on the factor analysis of separate questions, the following content areas were chosen for the job stressor scales: haste at work, problems in interpersonal relations at work, problems in occupational collaboration with others, too much responsibility, safety and health risks, lack of appreciation, troublesome patients, and lack of equipment and resources. Content areas for well-being scales and items were general job satisfaction, strain symptoms, perceived mental and physical work load. The reference values of the questionnaire and reliabilities for the scales were calculated. The application and further development of the questionnaire was discussed.

Modernisation of the intermediate physics laboratory

NASA Astrophysics Data System (ADS)

Kontro, Inkeri; Heino, Olga; Hendolin, Ilkka; Galambosi, Szabolcs

2018-03-01

The intermediate laboratory courses at the Department of Physics, University of Helsinki, were reformed using desired learning outcomes as the basis for design. The reformed laboratory courses consist of weekly workshops and small-group laboratory sessions. Many of the laboratory exercises are open-ended and have several possible ways of execution. They were designed around affordable devices, to allow for the purchase of multiple sets of laboratory equipment. This allowed students to work on the same problems simultaneously. Thus, it was possible to set learning goals which build on each other. Workshop sessions supported the course by letting the students solve problems related to conceptual and technical aspects of each laboratory exercise. The laboratory exercises progressed biweekly to allow for iterative problem solving. Students reached the learning goals well and the reform improved student experiences. Neither positive or negative changes in expert-like attitudes towards experimental physics (measured by E-CLASS questionnaire) were observed.

The Change Game: An Experiential Exercise Demonstrating Barriers to Change

ERIC Educational Resources Information Center

Lewis, Amy C.; Grosser, Mark

2012-01-01

Leading change is an essential skill for managers. Instructors in management education must not only teach theories on effectively leading change but also convince students of the necessity of developing their change leadership skills. Students may underestimate the difficulty of convincing others to work toward change; the authors developed the…

The AFSCME Building Blocks: A Manual for Child Care.

ERIC Educational Resources Information Center

American Federation of State, County and Municipal Employees, Washington, DC.

This manual provides members of the American Federation of State, County, and Municipal Employees (AFSCME) with convincing arguments for child care and methods they can use to negotiate for child care, develop community support, convince elected officials to support members' positions, and use the media to publicize the relevant issues. The manual…

Theresa Marie Schiavo's Long Road to Peace

ERIC Educational Resources Information Center

Cerminara, Kathy L.

2006-01-01

The death of Theresa Marie Schiavo came about only after almost 7 years of argument among her family members. Her husband, Michael Schiavo, was convinced that she would have refused the medically supplied nutrition and hydration maintaining her life. Her parents, Robert and Mary Schindler, and her siblings were equally convinced that her condition…

Hollow Promises: The Problem of Culture and the Integration of New Technology into the Navy

DTIC Science & Technology

2004-05-26

convincing businesses to employ them or their ideas. Lastly the business concept of culture is one that is restricted to interactions in the workplace . In... women in Hawaii. 61 62 63 Before the American entry into the Second World War, racism tainted their perception of the performance of warring groups...powering” the fight. 66 There are numerous examples of American dehumanization of the Japanese such as a sign erected by Admiral Halsey in Tulagi

[Placebo-controlled trials in schizophrenia].

PubMed

Melamed, Yuval; Davidson, Michael; Bleich, Avi

2004-03-01

Clinical trials involving human subjects give rise to ethical and medico-legal dilemmas. Essential research of new drugs may potentially expose patients to ineffective medications or to placebo. The complexity of the problem increases when dealing with mentally ill patients, for whom, on the one hand there is no known cure for their disease, and on the other hand, it is sometimes questionable whether or not they are able to provide informed consent to participate in clinical trials. The Israel Psychiatric Association decided to develop a position paper on the subject of placebo-controlled clinical trials in schizophrenia patients. Discussion groups were established, and the available material in the professional literature was examined, with an emphasis on recent developments. The Declaration of Helsinki and its amendments were analyzed, and experts in the field were consulted. Clinical drug trials for development of new medications are essential in all fields of medicine, especially in psychiatry. The requirement for a placebo arm in pharmaceutical trials presents ethical and clinical dilemmas that are especially complicated with regard to mentally ill persons whose free choice and ability to provide informed consent may be questionable. However, we do not believe that this predicament justifies unconditional rejection of placebo use in psychiatry, when it may provide substantial benefit for some patients. Simultaneously, it is our duty to provide stringent restrictions that will enable strict supervision over the scientific, clinical and ethical aspects of the trials. We propose the following criteria for approval of pharmaceutical trials that include a placebo arm: scientific justification; clinical and ethical justification; provision of informed consent; recruitment of patients hospitalized voluntarily; prevention of harm; administration of additional potential therapeutic interventions; benefit to patients participating in the study; control and follow-up procedures for the study as determined by the local Helsinki Committee; and appointment of a supervisory mechanism by the administration of the medical institution where the study is being performed.

Computer Enabled Neuroplasticity Treatment: A Clinical Trial of a Novel Design for Neurofeedback Therapy in Adult ADHD

PubMed Central

Cowley, Benjamin; Holmström, Édua; Juurmaa, Kristiina; Kovarskis, Levas; Krause, Christina M.

2016-01-01

Background: We report a randomized controlled clinical trial of neurofeedback therapy intervention for ADHD/ADD in adults. We focus on internal mechanics of neurofeedback learning, to elucidate the primary role of cortical self-regulation in neurofeedback. We report initial results; more extensive analysis will follow. Methods: Trial has two phases: intervention and follow-up. The intervention consisted of neurofeedback treatment, including intake and outtake measurements, using a waiting-list control group. Treatment involved ~40 h-long sessions 2–5 times per week. Training involved either theta/beta or sensorimotor-rhythm regimes, adapted by adding a novel “inverse-training” condition to promote self-regulation. Follow-up (ongoing) will consist of self-report and executive function tests. Setting: Intake and outtake measurements were conducted at University of Helsinki. Treatment was administered at partner clinic Mental Capital Care, Helsinki. Randomization: We randomly allocated half the sample then adaptively allocated the remainder to minimize baseline differences in prognostic variables. Blinding: Waiting-list control design meant trial was not blinded. Participants: Fifty-four adult Finnish participants (mean age 36 years; 29 females) were recruited after screening by psychiatric review. Forty-four had ADHD diagnoses, 10 had ADD. Measurements: Symptoms were assessed by computerized attention test (T.O.V.A.) and self-report scales, at intake and outtake. Performance during neurofeedback trials was recorded. Results: Participants were recruited and completed intake measurements during summer 2012, before assignment to treatment and control, September 2012. Outtake measurements ran April-August 2013. After dropouts, 23 treatment and 21 waiting-list participants remained for analysis. Initial analysis showed that, compared to waiting-list control, neurofeedback promoted improvement of self-reported ADHD symptoms, but did not show transfer of learning to T.O.V.A. Comprehensive analysis will be reported elsewhere. Trial Registration: “Computer Enabled Neuroplasticity Treatment (CENT),” ISRCTN13915109. PMID:27242472

A Purposeful MOOC to Alleviate Insufficient CS Education in Finnish Schools

ERIC Educational Resources Information Center

Kurhila, Jaakko; Vihavainen, Arto

2015-01-01

The Finnish national school curriculum, effective from 2004, does not include any topics related to Computer Science (CS). To alleviate the problem that school students are not able to study CS-related topics, the Department of Computer Science at the University of Helsinki prepared a completely online course that is open to pupils and students in…

"Who Is Helsinki" Sex Workers Advise Improving Communication for Good Participatory Practice in Clinical Trials

ERIC Educational Resources Information Center

Ditmore, Melissa Hope; Allman, Dan

2011-01-01

After premature closures in 2004 of biomedical human immunodeficiency virus (HIV) prevention trials involving sex workers in Africa and Asia, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and Global Advocacy for HIV Prevention (AVAC) undertook consultations to establish better participatory guidelines for such trials in order to address…

Reconstructing Imagined Finnishness: The Case of Art Education through the Concept of Place

ERIC Educational Resources Information Center

Paatela-Nieminen, Martina; Itkonen, Tuija; Talib, Mirja-Tytti

2016-01-01

This multidisciplinary article presents a methodology, a research project and selected outcomes from an environmental art education course for teacher students. The course is part of an art education minor at the University of Helsinki, Department of Teacher Education. The students were asked to construct their place through an intertextual art…

Asteroids, comets, meteors, and their interrelations. Part II: Editorial review

NASA Astrophysics Data System (ADS)

Muinonen, Karri; Granvik, Mikael; Penttilä, Antti; Gritsevich, Maria

2016-04-01

The Asteroids, Comets, Meteors 2014 (ACM 2014) conference was organized in Helsinki in June 30-July 4, 2014, with the first collection of the peer-reviewed papers published in December 2015 in the Special Issue of Planetary and Space Science (Muinonen et al., 2015). The present issue contains the second collection of papers from ACM 2014.

Learners' and Teachers' Voices in Developing Digital Language Learning Environments: Insights from a Survey

ERIC Educational Resources Information Center

Niinivaara, Janne; Vaattovaara, Johanna

2018-01-01

This article deals with a learning environment survey conducted among University of Helsinki students and language teachers in the university's Language Centre (LC). The survey was designed to acquire information for the development of a practical strategy for the digitalization of language learning and teaching by the local LC. The article…

Inclusive Special Education: The Role of Special Education Teachers in Finland

ERIC Educational Resources Information Center

Takala, Marjatta; Pirttimaa, Raija; Tormanen, Minna

2009-01-01

This study concentrates on the work of special education teachers in mainstream education in Finland, where these professionals work with children from various classes, usually in a separate room. The research reported in this article by Marjatta Takala of the University of Helsinki, Raija Pirttimaa of the University of Oulu and Minna Tormanen,…

Forty lives in the bebop business: mental health in a group of eminent jazz musicians.

PubMed

Wills, Geoffrey I

2003-09-01

Above-average levels of psychopathology have been demonstrated convincingly in groups of outstanding individuals working in the arts. Currently, jazz musicians have not been studied in this regard. To investigate any evidence of psychopathology in a group of eminent jazz musicians. Biographical material relating to 40 eminent American modern jazz musicians was reviewed and an attempt was made to formulate diagnoses using DSM-IV. Evidence was provided of levels of psychopathology in the sample of jazz musicians similar to those found in other previously investigated creative groups, with the exception of substance related problems. An interesting connection between creativity and sensation-seeking was highlighted. The link between psychopathology and creativity in the arts was given further weight. Future studies of jazz musicians using larger samples and making comparison with groups from different eras of music would give greater clarification to this area.

Individual Popularity, Peer Group Popularity Composition and Adolescents' Alcohol Consumption.

PubMed

Gommans, Rob; Müller, Christoph M; Stevens, Gonneke W J M; Cillessen, Antonius H N; Ter Bogt, Tom F M

2017-08-01

Previous studies have convincingly shown associations between popularity and adolescent drinking. This study examined whether the popularity composition of the peer group and the relative difference in popularity between adolescents and their peers are also associated with adolescent drinking. Participants were 800 adolescents (M age  = 14.73; SD age  = 1.00; 51.6 % girls) from 31 classrooms who completed peer ratings of popularity and self-reports of alcohol consumption. Results showed that drinking was higher among popular than unpopular adolescents, higher among popular adolescents surrounded by less popular classmates, and lower in classrooms with more variability in popularity. Thus, beyond individual popularity, peer group popularity composition also should be taken into account when investigating antisocial and health risk behaviors in adolescence such as drinking.

Self-generated persuasion: effects of the target and direction of arguments.

PubMed

Briñol, Pablo; McCaslin, Michael J; Petty, Richard E

2012-05-01

Previous research has revealed that self-persuasion can occur either through role-playing (i.e., when arguments are generated to convince another person) or, more directly, through trying to convince oneself (i.e., when arguments are generated with oneself as the target). Combining these 2 traditions in the domain of attitude change, the present research investigated the impact on self-persuasion of the specific target of one's own persuasive attempt (i.e., others vs. oneself). We found that the efficacy of self-persuasion depended on whether people believed that they would have to put more or less effort in convincing the self or others. Specifically, we found opposite effects for self-generated arguments depending on whether the topic of persuasion was proattitudinal or counterattitudinal. Across 4 studies, it was shown that when the topic of the message was counterattitudinal, people were more effective in convincing themselves when the intended target of the arguments was themselves versus another person. However, the opposite was the case when the topic was proattitudinal. These effects were shown to stem from the differential effort perceived as necessary and actually exerted in trying to produce persuasion under these conditions.

Poverty and cancer.

PubMed

Tomatis, L

1997-01-01

Despite the attraction of certain utopias and the convincing strength of some of the social and philosophical theories underlying attempts to change the social structure and to achieve a more egalitarian society, social inequalities have not disappeared and seem even to be increasing worldwide. Inequalities in health are part of the social inequalities present in our society and one of their most convincing indices. Sanitary conditions are worse, mortality higher, survival rates of cancer patients lower, and life expectancy shorter in developing countries than in industrialized countries. Similar if not identical differences can be seen within industrialized countries between socioeconomically less and more favoured population groups. In many areas of the industrialized countries social and environmental conditions comparable with those existing in the poorest countries last century have been recreated. Occupational risks are becoming a serious problem in developing countries, largely as a consequence of the transfer of hazardous industries from industrialized countries where certain industries are judged to be unacceptable. A similar double standard is applied to tobacco advertising and sales in the industrialized and developing countries. The projections of the total number of cancer cases in the next decades indicate a generalized increase, proportionally greater in developing than in industrialized countries.

Comparison of Students' Perceptions of Their Teaching-Learning Environments in Three Professional Academic Disciplines: A Valuable Tool for Quality Enhancement

ERIC Educational Resources Information Center

Haarala-Muhonen, Anne; Ruohoniemi, Mirja; Katajavuori, Nina; Lindblom-Ylanne, Sari

2011-01-01

The present study explored differences in students' perceptions of their teaching-learning environments in three professional academic disciplines at the University of Helsinki, using a modified version of the Experiences of Teaching & Learning Questionnaire. A total of 426 first-year students from the Faculties of Law, Pharmacy and Veterinary…

Geometry Teaching--Geometrieunterricht. Conference on the Teaching of Geometry (Helsinki, Finland, August 1-4, 1989). Research Report 74.

ERIC Educational Resources Information Center

Pehkonen, Erkki, Ed.

This report contains conference papers on geometry teaching. There were five plenary talks given and a review of Hungarian geometry teaching. The plenary talks addressed background theories of the psychology of learning such as constructivism, perceptional psychology, and motivational psychology. The themes of the 21 short talks were on a varied…

Plasma-Surface Interactions of Hydrogenated Carbon

DTIC Science & Technology

2009-01-01

ethesis.helsinki.fi/>. [7] J. Marian, L.A. Zepeda -Ruiz, G.H. Gilmer, E.M. Bringa, T. Rognlien, Phys. Scr. T124 (2006) 65. [8] P. Träskelin, K. Nordlund, J...Keinonen, J. Nucl. Mater. 357 (2006) 1. [9] J. Marian, L.A. Zepeda -Ruiz, N. Couto, E.M. Bringa, G.H. Gilmer, P.C. Stangeby, T.D. Rognlien, J. Appl. Phys

The Linguistic Landscape of International Students in English-Medium Master's Programmes at the University of Helsinki: Student Perceptions on the Use of English and Plurilingualism

ERIC Educational Resources Information Center

Pitkänen, Kari K.; Siddall, Roy; Lehtonen, Tuula

2013-01-01

The internationalization of European higher education and the corresponding proliferation of international Master's degree programmes are creating plurilingual educational environments that potentially enhance linguistic diversity. However, there is concern that the focus on English as the sole medium of instruction in such programmes could have…

Temporal, Spatial and Embodied Relations in the Teacher's Day at School

ERIC Educational Resources Information Center

Holland, Janet; Gordon, Tuula; Lahelma, Elina

2007-01-01

In this paper, we draw on a cross-cultural ethnographic study conducted in two secondary schools in Helsinki (Finland), and two in London (UK). In our analysis of everyday life in schools, space is not merely a backdrop to activities that take place, it also shapes processes and activities, and spatial relations are simultaneously temporal. Here,…

From Strategic Planning to Meaningful Learning: Diverse Perspectives on the Development of Web-Based Teaching and Learning in Higher Education

ERIC Educational Resources Information Center

Lofstrom, Erika; Nevgi, Anne

2007-01-01

This paper reports the results of a study on strategic planning and implementation of information and communication technology (ICT) in teaching and describes the level of quality awareness in web-based teaching at the University of Helsinki. Questionnaire survey data obtained from deans and institutional leaders, ICT support staff, teachers and…

Significant Networks and Meaningful Conversations Observed in the First-Round Applicants for the Teachers' Academy at a Research-Intensive University

ERIC Educational Resources Information Center

Pyörälä, Eeva; Hirsto, Laura; Toom, Auli; Myyry, Liisa; Lindblom-Ylänne, Sari

2015-01-01

The University of Helsinki established a Teachers' Academy to reward excellence in teaching. This study focuses on teachers' significant networks and their meaningful conversations about teaching and learning before the establishment of the Teachers' Academy. The research data consisted of answers to open-ended questions, and were examined using…

Developing Scholarly Communities as Learning Environments for Doctoral Students

ERIC Educational Resources Information Center

Pyhalto, Kirsi; Stubb, Jenni; Lonka, Kirsti

2009-01-01

The quality of PhD training can be conceived of as being dependent on the learning environment provided by the scholarly community. Our paper explores PhD students' ideas about themselves as a part of this community, and their perceptions of their learning environment in the context of the University of Helsinki, Finland. The study is a part of a…

In Search for the Ideological Roots of Non-Formal Environment-Related Education in Finland: The Case of Helsinki Humane Society before World War II

ERIC Educational Resources Information Center

Rouhiainen, Henna; Vuorisalo, Timo

2014-01-01

So far the research on historical environment-related education has focused on scientific rather than "humanistic" (including Romantic and religious) educational approaches and ideologies. In the field of non-formal education implemented by associations these have, however, been common. We used content analysis to study two membership…

The Challenges of the 21st Century for Vocational Education and Training. International Conference on Vocational Education and Training Proceedings (Helsinki, Finland, August 24-28, 1997).

ERIC Educational Resources Information Center

Lasonen, Johanna, Ed.

The following are among the 52 papers included: "A Vision of Vocational Education and Training for the Approaching Millennium" (Mndebele); "Challenges for the 21st Century for Technical-Vocational Education and Training from Global, Regional and National Perspectives" (Basu); "A Customer-Oriented Approach for Curriculum…

Becoming Animated When Teaching Physics, Crafts and Drama Together: A Multidisciplinary Course for Student-Teachers

ERIC Educational Resources Information Center

Kallunki, Veera; Karppinen, Seija; Komulainen, Kauko

2017-01-01

This article examines a physics course for pre-service primary teachers in which physics, crafts and drama were taught together by connecting the standpoints of crafts and drama. The study was carried out by three university educators from these disciplines during an advanced optional course for student-teachers at the University of Helsinki in…

An Experiment in Multilateral Cultural Cooperation in Europe: The Council for Cultural Cooperation.

ERIC Educational Resources Information Center

Council for Cultural Cooperation, Strasbourg (France).

The text is a summary of the educational and cultural achievements (1962-1973) of the Council of Europe's Council for Cultural Cooperation (C.C.C.). The summary was written to inform members of the European Cultural Convention at Helsinki of activities, programs, and studies on European cultural co-operation which are relevant to their program.…

Changes in leisure-time physical activity and physical and mental health functioning: a follow-up study.

PubMed

Holstila, A; Mänty, M; Rahkonen, O; Lahelma, E; Lahti, J

2017-12-01

Functioning will be an increasingly important issue in Finland over the coming decades as the proportion of the population aged 65 and older is growing significantly. However, the associations between changes in physical activity and subsequent health functioning are poorly understood. The aim of this study was to examine how changes in physical activity relate to concurrent and prospective levels of health functioning. Cohort data from the Helsinki Health Study were used. Phase 1 (n = 8960, response rate 67%, 80% women) was conducted among 40- to 60-year-old employees of the City of Helsinki in 2000-2002, phase 2 in 2007 (n = 7332, response rate 83%), and phase 3 in 2012 (n = 6814, response rate 79%). Linear mixed models were used as the main statistical method. Increasing physical activity was associated with higher concurrent and prospective levels of physical health functioning, whereas decreasing activity was associated with lower levels of physical health functioning. The associations were stronger with physical than with mental health functioning. Promoting physical activity among aging people may help to maintain their level of health functioning. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Convincing similar and dissimilar others: the power of language abstraction in political communication.

PubMed

Menegatti, Michela; Rubini, Monica

2013-05-01

Three studies examined the production of political messages and their persuasive impact on recipients as a function of speaker-audience similarity. The first two studies found support for the hypothesis that political leaders (Study 1) and party activists (Study 2) formulate more abstract messages when the audience is politically similar to them than when the audience is dissimilar or heterogeneous. The third study examined the persuasive impact of message abstractness versus concreteness. We predicted and found that abstract messages are more effective in convincing an audience whose political positions are similar to the speaker's and concrete messages are more effective in convincing an audience whose political positions differ from the speaker's or are heterogeneous. Implications of these findings for the relation between language and social cognition are discussed.

The early history of polyamine research.

PubMed

Bachrach, Uriel

2010-07-01

In 1678 Antonie van Leeuwenhoek identified crystalline substances in human semen. The structure of these crystals, named "spermine", was not elucidated by Rosenheim until 250 years later. Subsequently a triamine (spermidine) and a diamine (putrescine; 1,4-diaminobutane) were isolated from prokaryotic and eukaryotic systems. Soon it became apparent that polyamines can promote the growth of fastidious bacteria. Subsequently a group in Helsinki studied the accumulation of polyamines in regenerating rat liver, while Caldarera and his group studied polyamine synthesis in the developing chick embryo. These investigations led to metabolic studies. Ornithine decarboxylase was identified as a key enzyme in polyamine biosynthesis, while polyamine and diamine oxidations were studied by Mondovì. alpha-Diflouromethylornithine (DFMO) was synthesized by Merrell-Dow and became a potent inhibitor of ornithine decarboxylase. The findings of Russell that polyamines are excreted in the urine of cancer patients drew the attention of oncologists, who attempted the use new technologies for the detection of cancer and improving therapy. With the advance of molecular biology the structure of polyamine-biosynthetic enzymes was elaborated. Plants served as another important tool to study the physiological functions of polyamines. Bagni and his group at Bologna were pioneers in that field and for more than forty-six years set the foundation of a most interesting discipline. 2010 Elsevier Masson SAS. All rights reserved.

Social networks of older adults living with HIV in Finland.

PubMed

Nobre, Nuno Ribeiro; Kylmä, Jari; Kirsi, Tapio; Pereira, Marco

2016-01-01

The aim of this study was to explore the social networks of older adults living with HIV. Interviews were conducted with nine individuals aged 50 or older living with HIV in Helsinki, Finland. Analysis of transcripts was analysed by inductive qualitative content analysis. Results indicated that these participants' networks tended to be large, including those both aware and unaware of the participants' health status. Analysis identified three main themes: large multifaceted social networks, importance of a support group, and downsizing of social networks. Support received appeared to be of great importance in coping with their health condition, especially since the time of diagnosis. Friends and family were the primary source of informal support. The majority of participants relied mostly on friends, some of whom were HIV-positive. Formal support came primarily from the HIV organisation's support group. In this study group, non-disclosure did not impact participants' well-being. In years to come, social networks of older adults living with HIV may shrink due to personal reasons other than HIV-disclosure. What is of primary importance is that healthcare professionals become knowledgeable about psychosocial issues of older adults living with HIV, identifying latent problems and developing adequate interventions in the early stages of the disease; this would help prevent social isolation and foster successful ageing with HIV.

The Relationship between Popper's Philosophy and the Acceptance of the Vitamin Theory: A Case Study of the Methodology of Scientific Research.

ERIC Educational Resources Information Center

Akeroyd, F. Michael

1985-01-01

Analyzes the relationship between Karl Popper's philosophy and a 1912 paper by F. G. Hopkins which was instrumental in convincing scientists about merits of the vitamin theory. Concludes that Hopkins' work was convincing because it subjected a theory (which was the center of attention) to the severest possible tests, supporting Popper's position.…

Providing the Fuel (and Passing the Flame)

ERIC Educational Resources Information Center

Pagano, Todd

2013-01-01

At the risk of opening with a cliché statement- at the heart of the most effective mentor is a burning passion. The fuel for this passion is a desire to convince, not just try to, but actually convince your mentee that you care about their success (be it in the classroom, career, or personal life). I am guilty of believing in, and living by, this…

Speeding up parallel processing

NASA Technical Reports Server (NTRS)

Denning, Peter J.

1988-01-01

In 1967 Amdahl expressed doubts about the ultimate utility of multiprocessors. The formulation, now called Amdahl's law, became part of the computing folklore and has inspired much skepticism about the ability of the current generation of massively parallel processors to efficiently deliver all their computing power to programs. The widely publicized recent results of a group at Sandia National Laboratory, which showed speedup on a 1024 node hypercube of over 500 for three fixed size problems and over 1000 for three scalable problems, have convincingly challenged this bit of folklore and have given new impetus to parallel scientific computing.

The Sznajd model with limited persuasion: competition between high-reputation and hesitant agents

NASA Astrophysics Data System (ADS)

Crokidakis, Nuno; Murilo Castro de Oliveira, Paulo

2011-11-01

In this work we study a modified version of the two-dimensional Sznajd sociophysics model. In particular, we consider the effects of agents' reputations in the persuasion rules. In other words, a high-reputation group with a common opinion may convince its neighbors with probability p, which induces an increase of the group's reputation. On the other hand, there is always a probability q = 1 - p of the neighbors keeping their opinions, which induces a decrease of the group's reputation. These rules describe a competition between groups with high-reputation and hesitant agents, which makes the full-consensus states (with all spins pointing in one direction) more difficult to reach. As consequences, the usual phase transition does not occur for p < pc ~ 0.69 and the system presents realistic democracy-like situations, where the majority of spins are aligned in a certain direction, for a wide range of parameters.

Modeling Mixed Groups of Humans and Robots with Reflexive Game Theory

NASA Astrophysics Data System (ADS)

Tarasenko, Sergey

The Reflexive Game Theory is based on decision-making principles similar to the ones used by humans. This theory considers groups of subjects and allows to predict which action from the set each subject in the group will choose. It is possible to influence subject's decision in a way that he will make a particular choice. The purpose of this study is to illustrate how robots can refrain humans from risky actions. To determine the risky actions, the Asimov's Three Laws of robotics are employed. By fusing the RGT's power to convince humans on the mental level with Asimov's Laws' safety, we illustrate how robots in the mixed groups of humans and robots can influence on human subjects in order to refrain humans from risky actions. We suggest that this fusion has a potential to device human-like motor behaving and looking robots with the human-like decision-making algorithms.

Dentition, nutritional status and adequacy of dietary intake among older residents in assisted living facilities.

PubMed

Saarela, Riitta K T; Lindroos, Eeva; Soini, Helena; Hiltunen, Kaija; Muurinen, Seija; Suominen, Merja H; Pitkälä, Kaisu H

2016-06-01

We examined the relationships between dentition, nutritional status and dietary intakes of energy, protein and micronutrients among older people in assisted living facilities in Helsinki. Poor dentition is associated with malnutrition. Less is known about how dentition is associated with detailed nutrient intakes in institutionalised older people. This cross-sectional study assessed 343 participants (mean age 83 years). Dentition was assessed by trained ward nurses and divided into edentulous participants without dentures (group 1), edentulous participants with removable dentures (group 2) and those with any natural teeth (group 3). Nutritional status was assessed by Mini Nutritional Assessment (MNA). The energy, protein and nutrient intakes were calculated from detailed 1-day food diaries and compared with the recommendations of the Finnish National Nutrition Council as a measure of dietary adequacy. Assessment included also participants' cognitive and functional status. Of the participants, 8.2, 39.1 and 52.8% were in groups 1, 2 and 3, respectively. Altogether 22% were malnourished according to MNA. Group 1 had the poorest nutritional status. A large proportion of participants consumed less than the recommended amounts of energy, protein or micronutrients. Half of the participants consumed <60 g/day of protein. The intake of protein was significantly lower in group 1 than in other two groups. Malnutrition and inadequate protein intake were very common and associated with dentition among older people with multiple disabilities in assisted living facilities. Assessment of dental status should be part of good nutritional care in long-term care. © 2014 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd.

A blended-learning programme regarding professional ethics in physiotherapy students.

PubMed

Aguilar-Rodríguez, Marta; Marques-Sule, Elena; Serra-Añó, Pilar; Espí-López, Gemma Victoria; Dueñas-Moscardó, Lirios; Pérez-Alenda, Sofía

2018-01-01

In the university context, assessing students' attitude, knowledge and opinions when applying an innovative methodological approach to teach professional ethics becomes fundamental to know if the used approach is enough motivating for students. To assess the effect of a blended-learning model, based on professional ethics and related to clinical practices, on physiotherapy students' attitude, knowledge and opinions towards learning professional ethics. Research design and participants: A simple-blind clinical trial was performed (NLM identifier NCT03241693) (control group, n = 64; experimental group, n = 65). Both groups followed clinical practices for 8 months. Control group performed a public exposition of a clinical case about professional ethics. By contrast, an 8-month blended-learning programme regarding professional ethics was worked out for experimental group. An online syllabus and online activities were elaborated, while face-to-face active participation techniques were performed to discuss ethical issues. Students' attitudes, knowledge and opinions towards learning professional ethics were assessed. Ethical considerations: The study was approved by the University Ethic Committee of Human Research and followed the ethical principles according to the Declaration of Helsinki. After the programme, attitudes and knowledge towards learning professional ethics of experimental group students significantly improved, while no differences were observed in control group. Moreover, opinions reported an adequate extension of themes and temporization, importance of clinical practices and interest of topics. Case study method and role playing were considered as the most helpful techniques. The blended-learning programme proposed, based on professional ethics and related to clinical practices, improves physiotherapy students' attitudes, knowledge and opinions towards learning professional ethics.

Immigrant Status, Gender, and School Burnout in Finnish Lower Secondary School Students: A Longitudinal Study

ERIC Educational Resources Information Center

Salmela-Aro, Katariina; Read, Sanna; Minkkinen, Jaana; Kinnunen, Jaana M.; Rimpelä, Arja

2018-01-01

The aim of this longitudinal study among 9223 students from grade 7 and grade 9 (age 13-14 and 15-16) was to assess whether immigrant status and gender are associated with the level and change (slope) in school burnout among lower secondary school students in the Helsinki metropolitan area. Ninety-seven percent of the variation in school burnout…

West Europe Report

DTIC Science & Technology

1987-03-02

MERCADO , 26 Dec 86) 79 MILITARY FINLAND Reactions to Koivlsto Nordic Sea Speech (HELSINGIN SANOMAT, various dates) Komissarov on Finnish...Helsinki Municipal Court on a Communist Party internal dispute has created an exceptional situation. It turns out that the decision of a "bourgeois...chose to place in the way of the Taisto Sinisalo and Jouko Kajanoja led minority. According to the decision of the municipal court the Communist

Development of Finnish Elementary Pupils' Problem-Solving Skills in Mathematics

ERIC Educational Resources Information Center

Laine, Anu; Näveri, Liisa; Ahtee, Maija; Pehkonen, Erkki

2014-01-01

The purpose of this study is to determine how Finnish pupils' problem-solving skills develop from the 3rd to 5th grade. As research data, we use one non-standard problem from pre- and post-test material from a three-year follow-up study, in the area of Helsinki, Finland. The problems in both tests consisted of four questions related to each other.…

Current State of Research on Mathematical Beliefs V. Proceedings of the MAVI-5 Workshop (August 22-25, 1997). Research Report 184.

ERIC Educational Resources Information Center

Hannula, Markku, Ed.

This report includes all of the presentations from the fifth annual workshop on the Current State of Research on Mathematical Beliefs held in Helsinki, Finland, on August 22-25, 1997. The papers, all of which were presented in English, are as follows: "Between Formalism and Creativity: Teachers' Conceptions of a Good Computer Science…

Back to the Future: Do Lessons from Finland Point the Way to a Return to Model Schools for Northern Ireland?

ERIC Educational Resources Information Center

Moran, Anne; Clarke, Linda

2012-01-01

The paper examines the school-based element of initial teacher education (ITE) and the ways in which it contributes to the professional learning of student teachers in Finland (University of Helsinki) and Northern Ireland (University of Ulster). In particular it seeks to assess the potential of Training Schools for Northern Ireland. Universities…

EUNIS '99: Information Technology Shaping European Universities. Proceedings of the International European University Information Systems (5th, Espoo, Finland, June 7-9, 1999).

ERIC Educational Resources Information Center

1999

This document presents the proceedings from the 5th International European University Information Systems (EUNIS) Conference on Information Technology that took place in Helsinki, Finland on June 7-9, 1999. Topics of the conference proceedings were divided into five tracks (A through E): Use of Information Technology in Learning and Teaching;…

The International Conference on Low Temperature Physics (14th), Helsinki University of Technology, Otaniemi, Finland, 14-20 August 1975

DTIC Science & Technology

1975-12-30

that is consistent with other calculations and experiments- (H.-009). W. F. Brinkman and H. Smith (Bell Laboratories, ’Murray Hill, N.J.) presented...can depend on details of the Pd (part) of the phonon spectrum,"(S.010). D. S. Mac Lachlan , et al. (Universite de Paris-Sud, Orsay) reported in (S.011

Evidencing the Passion of Language Teachers' Research Engagement: The Case of a University Pedagogy ALMS Course Module

ERIC Educational Resources Information Center

Vaattovaara, Johanna

2017-01-01

This paper presents a case example of a University Pedagogy course module carried out in ALMS (Autonomous Learning Modules) format. The participants of the course were mainly in-service language teachers of the University of Helsinki Language Centre, and the author of this report is a module instructor and counsellor. The motivation for the ALMS…

Multiple Repertoires of Ways of Being and Acting in Music: Immigrant Students' Musical Agency as an Impetus for Democracy

ERIC Educational Resources Information Center

Karlsen, Sidsel

2012-01-01

The aim of this article is to explore how immigrant students experience and enact musical agency inside and outside the music lessons in three Nordic lower secondary schools. The research was designed as a multi-sited ethnographic study and the data were collected in Helsinki, Stockholm and Oslo through classroom observations and interviews with…

Does Arts Education Develop School Readiness? Teachers' and Artists' Points of View on an Art Education Project

ERIC Educational Resources Information Center

Nevanen, Saila; Juvonen, Antti; Ruismäki, Heikki

2014-01-01

More than 98 percent of children in Finland attend preschool, where different kinds of projects are carried out in order to strengthen the children's abilities. This article focuses on the effects of one arts education project from a school readiness point of view. The main question was, How did the Helsinki arts education project affect the…

Preschool Achievement in Finland and Estonia: Cross-Cultural Comparison between the Cities of Helsinki and Tallinn

ERIC Educational Resources Information Center

Ojala, Mikko; Talts, Leida

2007-01-01

Each child In Finland and in Estonia receives preschool training for a year before going to school, based on a new national framework curriculum of preschool education. The aim of the present study was to compare children's learning achievements in nine target areas, based on the teacher's evaluations at the end of the preschool year, in both…

The NASA CloudSat/GPM Light Precipitation Validation Experiment (LPVEx)

NASA Technical Reports Server (NTRS)

Petersen, Walter A.; L'Ecuyer, Tristan; Moisseev, Dmitri

2011-01-01

Ground-based measurements of cool-season precipitation at mid and high latitudes (e.g., above 45 deg N/S) suggest that a significant fraction of the total precipitation volume falls in the form of light rain, i.e., at rates less than or equal to a few mm/h. These cool-season light rainfall events often originate in situations of a low-altitude (e.g., lower than 2 km) melting level and pose a significant challenge to the fidelity of all satellite-based precipitation measurements, especially those relying on the use of multifrequency passive microwave (PMW) radiometers. As a result, significant disagreements exist between satellite estimates of rainfall accumulation poleward of 45 deg. Ongoing efforts to develop, improve, and ultimately evaluate physically-based algorithms designed to detect and accurately quantify high latitude rainfall, however, suffer from a general lack of detailed, observationally-based ground validation datasets. These datasets serve as a physically consistent framework from which to test and refine algorithm assumptions, and as a means to build the library of algorithm retrieval databases in higher latitude cold-season light precipitation regimes. These databases are especially relevant to NASA's CloudSat and Global Precipitation Measurement (GPM) ground validation programs that are collecting high-latitude precipitation measurements in meteorological systems associated with frequent coolseason light precipitation events. In an effort to improve the inventory of cool-season high-latitude light precipitation databases and advance the physical process assumptions made in satellite-based precipitation retrieval algorithm development, the CloudSat and GPM mission ground validation programs collaborated with the Finnish Meteorological Institute (FMI), the University of Helsinki (UH), and Environment Canada (EC) to conduct the Light Precipitation Validation Experiment (LPVEx). The LPVEx field campaign was designed to make detailed measurements of cool-season light precipitation by leveraging existing infrastructure in the Helsinki Precipitation Testbed. LPVEx was conducted during the months of September--October, 2010 and featured coordinated ground and airborne remote sensing components designed to observe and quantify the precipitation physics associated with light rain in low-altitude melting layer environments over the Gulf of Finland and neighboring land mass surrounding Helsinki, Finland.

The Magnitude of Occupational Class Differences in Sickness Absence: 15-Year Trends among Young and Middle-Aged Municipal Employees.

PubMed

Sumanen, Hilla; Lahelma, Eero; Pietiläinen, Olli; Rahkonen, Ossi

2017-06-09

Background : Our aim was to examine the magnitude of relative occupational class differences in sickness absence (SA) days over a 15-year period among female and male municipal employees in two age-groups. Methods : 18-34 and 35-59-year-old employees of the City of Helsinki from 2002 to 2016 were included in our data ( n = ~37,500 per year). Occupational class was classified into four groups. The magnitude of relative occupational class differences in SA was studied using the relative index of inequality (RII). Results : The relative occupational class differences were larger among older than younger employees; the largest differences were among 35-59-year-old men. Among women in both age-groups the relative class differences remained stable during 2002-2016. Among younger and older men, the differences were larger during the beginning of study period than in the end. Among women in both age-groups the RII values were between 2.19 (95% confidence intervals (CI) 1.98, 2.42) and 3.60 (95% CI 3.28, 3.95). The corresponding differences varied from 3.74 (95% CI 3.13, 4.48) to 1.68 (95% CI 1.44, 1.97) among younger and from 6.43 (95% CI 5.85, 7.06) to 3.31 (95% CI 2.98, 3.68) among older men. Relative occupational class differences were persistent among employees irrespective of age group and gender. Preventive measures should be started at young age.

[Does impact factor influence the ethics of the instructions provided to journal authors?].

PubMed

Teixeira, Renan Kleber Costa; Yamaki, Vitor Nagai; Gonçalves, Thiago Barbosa; Botelho, Nara Macedo; Silva, José Antonio Cordero da

2013-01-01

Verify whether a journal's impact factor is a mechanism that modifies the ethical requirements described in the instructions provided to authors of articles published in Brazilian medical journals. 48 selected journals were divided into two groups: impact-factor (n=24), and no-impact-factor (n=24). The number of ethical requirements was compared between both groups based on a specific research protocol, ranging from zero to six points, analyzing the presence of an approval by a research ethics committee; reference to the fact that the research follows the precepts of the Declaration of Helsinki and the rules of Resolution 196/96; use of an informed consent; information about the authors' conflicts of interest; and a request for registration of clinical trials in the Brazilian Clinical Trials Registry. The average score of the impact-factor group was significantly higher than that of the no-impact-factor group (3.12 ± 1.03 vs. 2.08 ± 1.64, p=0.0121). When each ethical requirement was compared between the groups, there was significant difference only between the requirement of an informed consent and the disclosure of conflicts of interest (p < 0.05). The impact factor is a determinant factor on the ethics included in the instructions to authors of articles in scientific journals, showing that higher-quality journals seek better-designed articles that are conscientious at the beginning of the research. Copyright © 2013 Elsevier Editora Ltda. All rights reserved.

What Convinces Enterprises To Value Training and Learning and What Does Not? A Study in Using Case Studies To Develop Cultures of Training and Learning.

ERIC Educational Resources Information Center

Figgis, Jane; Alderson, Anna; Blackwell, Anna; Butorac, Anne; Mitchell, Keith; Zubrick, Ann

A study examined the feasibility of using case studies to convince enterprises to value training and learning. First, 10 Australian enterprises were studied in sufficient depth to construct a comprehensive picture of each enterprise, its culture, and the strategies it uses to develop the skills and knowledge of individual employees and the…

The Requirement for U.S. Army Special Forces to Conduct Interrogation

DTIC Science & Technology

2012-06-01

SCHARFF .............93  APPENDIX D.  “SUGGESTIONS FOR JAPANESE INTERPRETERS BASED ON WORK IN THE FIELD” BY SHERWOOD MORAN ...............107  INITIAL...reluctant to risk their men simply to capture Japanese soldiers—soldiers they were convinced would never disclose valuable intelligence.44 Through a...only the most severe coercive measures of interrogation would convince a captured Japanese soldier to divulge information. Moran believed “strong

Team reasoning: Solving the puzzle of coordination.

PubMed

Colman, Andrew M; Gold, Natalie

2017-11-03

In many everyday activities, individuals have a common interest in coordinating their actions. Orthodox game theory cannot explain such intuitively obvious forms of coordination as the selection of an outcome that is best for all in a common-interest game. Theories of team reasoning provide a convincing solution by proposing that people are sometimes motivated to maximize the collective payoff of a group and that they adopt a distinctive mode of reasoning from preferences to decisions. This also offers a compelling explanation of cooperation in social dilemmas. A review of team reasoning and related theories suggests how team reasoning could be incorporated into psychological theories of group identification and social value orientation theory to provide a deeper understanding of these phenomena.

Women Physicists in the European Union : how Brussels is moving toward gender equality

NASA Astrophysics Data System (ADS)

Pancheri, Giulia

2008-04-01

The policies of the European Union towards gender equality in science occupation will be discussed along three aspects: 1. Current statistics recently published by the EU will be illustrated with some comparison with similar US statistics. The latest recommendations of the Helsinki group will be presented, together with the conclusions of the Women in Science meetings organized by the EU. 2. The implementation of these recommendations will be illustrated by this speaker's experience both as independent expert for Physics Research Programs for the European Commission for the last 10 years, as well as from the point of view of having been European Coordinator of three Research Networks in Theoretical Physics from 1992 until 2006: the impact of this on young women students will be described. 3. National policies enforced through the Equal Opportunity Committees will be illustrated, with the specific case of the Affirmative Actions of Italian INFN Equal Opportunity Committe and their impact on hiring and promotion of women physicists.

Autism spectrum traits and visual processing in young adults with very low birth weight: the Helsinki Study of Very Low Birth Weight adults.

PubMed

Wolford, E; Pesonen, A-K; Heinonen, K; Lahti, M; Pyhälä, R; Lahti, J; Hovi, P; Strang-Karlsson, S; Eriksson, J G; Andersson, S; Järvenpää, A-L; Kajantie, E; Räikkönen, K

2017-04-01

Visual processing problems may be one underlying factor for cognitive impairments related to autism spectrum disorders (ASDs). We examined associations between ASD-traits (Autism-Spectrum Quotient) and visual processing performance (Rey-Osterrieth Complex Figure Test; Block Design task of the Wechsler Adult Intelligence Scale-III) in young adults (mean age=25.0, s.d.=2.1 years) born preterm at very low birth weight (VLBW; <1500 g) (n=101) or at term (n=104). A higher level of ASD-traits was associated with slower global visual processing speed among the preterm VLBW, but not among the term-born group (P<0.04 for interaction). Our findings suggest that the associations between ASD-traits and visual processing may be restricted to individuals born preterm, and related specifically to global, not local visual processing. Our findings point to cumulative social and neurocognitive problems in those born preterm at VLBW.

Are Female Sex Workers Able to Negotiate Condom Use with Male Clients? The Case of Mobile FSWs in Four High HIV Prevalence States of India

PubMed Central

Bharat, Shalini; Mahapatra, Bidhubhusan; Roy, Suchismita; Saggurti, Niranjan

2013-01-01

Introduction Condom promotion among female sex workers (FSWs) is a key intervention in India’s National AIDS Control Program. However, there is limited understanding of how FSWs negotiate condom use with male clients, particularly in the context of their mobility for sex work. The objective of this study is to examine the factors associated with the mobile FSWs’ ability to refuse unsafe sex and successfully negotiate condom use with unwilling male clients. Methods Data for 5498 mobile FSWs from a cross-sectional survey conducted in 22 districts of four states in southern India were analyzed. Questions assessed FSWs’ ability to refuse clients unprotected sex, convince unwilling clients for condom use and negotiate condom use in a new location. Logistic regression models were constructed to examine the association between socio-demographics, economic vulnerability, sex work practice, and program exposure and condom negotiation ability. Results A majority of FSWs (60%) reported the ability to refuse clients for unprotected sex, but less than one-fifth reported the ability to successfully convince an unwilling client to use a condom or to negotiate condom use in a new site. Younger and older mobile FSWs compared to those who were in the middle age group, those with longer sex work experience, with an income source other than sex work, with program exposure and who purchased condoms for use, reported the ability to refuse unprotected sex, to successfully negotiate condom use with unwilling clients and to do so at new sites. Conclusion FSWs need to be empowered to not only refuse unprotected sex but also to be able to motivate and convince unwilling clients for condom use, including those in new locations. In addition to focusing on condom promotion, interventions must address the factors that impact FSWs’ ability to negotiate condom use. PMID:23840806

Molecular Quantum Mechanics: Analytic Gradients and Beyond - Program and Abstracts

DTIC Science & Technology

2007-06-03

Kutzelnigg (Bochum, Germany) Chair: Pekka Pyykko (Helsinki, Finland) Which Masses are Vibrating or Rotating in a Molecule? 15:40-16:15 O30...Krylov (Los Angeles, CA, U.S.A.) Multiconfigurational Quantum Chemistry for Actinide Containing Systems: From Isolated Molecules to Condensed...the genetic algorithm will be critically assessed. For B4n, the double rings are notably stable. The DFT calculations provide strong indications of

Produkt, Fenomen, Upplevelse. Proceedings of a Nordic Symposium (Helsinki, Finland, November 7-9, 1996). Research in Sloyd Education and Crafts Science B:3.

ERIC Educational Resources Information Center

Seitamaa-Hakkarainen, Pirita, Ed.; Uotila, Minna, Ed.

This anthology consists of 7 presentations given by invited speakers and 15 essays that show how crafts form both a theoretical and practical discourse that deals with the most varied individual, cultural, and behavioral phenomena. They involve the concept of sloyd, derived from a Swedish word, an umbrella term for making or crafting things by…

Current State of Research on Mathematical Beliefs III. Proceedings of the MAVI-3 Workshop (3rd, Helsinki, Finland, August 23-26, 1996). Research Report 170.

ERIC Educational Resources Information Center

Pehkonen, Erkki, Ed.

This report contains papers given in the third workshop on the Current State of Research on Mathematical Beliefs. No plenary talks were given. The presentations were categorized into the subjects of pupil beliefs and teacher beliefs. The concept of belief in this workshop also refers to conceptions, views, and attitudes. Pupils' beliefs and their…

Criteria, Methods and Implications. Proceedings of the International Symposium on the Evaluation of Physics Education (Helsinki, Finland, June 25-29, 1990). Research Report 96.

ERIC Educational Resources Information Center

Ahtee, Maija, Ed.; And Others

The main purpose of this symposium was to find new ideas and resources for the evaluation and improvement of physics education on all levels. The papers included in this document are entitled: (1) "Quality of Physics Teaching Through Building Models and Advancing Research Skills"; (2) "Evaluation of Physics Education in Terms of Its…

USSR Report. International Affairs.

DTIC Science & Technology

1987-05-13

ORGANIZATION OF INDUSTRIAL PRODUCTION (UEO) THE WORKING CLASS § THE CONTEMPORARY WORLD (UWC) PEOPLES OF ASIA & AFRICA (UAA) MILITARY HISTORY JOURNAL...and beyond. He said that the documents from the European Conference in Helsinki and the Madrid meeting have given an important stimulus to the work ...commission’s activity with the work of the Vienna meeting deserved all-round support, he said. "It is important that the Vienna followup meeting make

Translations on Eastern Europe, Political, Sociological, and Military Affairs, Number 1321

DTIC Science & Technology

1976-11-19

the people , have shifted increasingly to the forefront. After the Helsinki Conference, international imperialism made new attempts to misinterpret... people living in the socialist countries. The exchange of experience among the socialist countries, and their coordinat- ed course of action play an...result of violence against human nature, from which the people living under it had to be liberated. Today the picture that bourgeois ideology forms of

JPRS Report Science & Technology: Europe Economic Competitiveness.

DTIC Science & Technology

1992-11-19

Hungarian Telcos Order Finnish Systems Comptel Ltd of Helsinki is to supply turnkey systems to the private telephone companies founded by Kontrax and...requested. The transfer system of the Steinbeis Founda- tion is not just of interest to the companies because of the great amount of know-how it... performance of the network; Integrated EDI Archi- tecture and Layer Shell System , a reference architecture defining the interfact skeleton and

Trans World Tidal Gravity Profile.

DTIC Science & Technology

1984-12-31

UTSJOVI - SURF,.BUILD, OLD CONCRETE PILLAR ON tEDPOCKMIGHATITE 2.71 GEODEETTIt.EN LAITOS HELSINKI JKAKKUPI GNEISSOSE GPANITE CATEDPA DE ASTRONOMIA Y ...EOCENE DE BRUXELLES SUR LE CAMBRIEN DU MASSIF DU BRABANT. SABLES LUTETIENS. ObSERVATOIRE ROYAL DE BELGIQUE DEPT.1 P.’MELCHIOR , INSTITUTO DI ASTRONOMIA Y ...SUP LE CAMBRIEN DU MASSIF CU BRABANT* SABLES LUTETIENS, -. OBSERVATOIRE ROYAL CE EELGIQUE DEPTe1 P.MELCHIOP INSTITUTO DI ASTRONOMIA Y GEODESIA DEL

[Reporting ethics board approval in German medical theses and journals].

PubMed

Zenz, Michael; Zenz, Julia; Grieger, Maximilian

2018-06-05

Since 1975, the Declaration of Helsinki of the World Medical Association (WMA) has clearly required ethics committee approval for research into humans. Nevertheless, this Declaration is violated quite often. As many English-language publications have addressed the theme of ethics board approval in theses and other published works, it is now to be investigated in Germany for the first time.From 2013 to 2014, a total of 1,482 medical theses at four selected universities in addition to three German-language scientific journals were reviewed. In 543 theses, reference to ethics approval would have been required according to the criteria of the Declaration of Helsinki.However, ethics approval was stated in only 58.7% of cases, and even less frequently if the prevailing doctoral regulations or instructions did not refer to the necessity of obtaining ethics approval. Theses on pediatrics mentioned ethics approval most frequently (78.6%), whereas the proportion of surgical papers was the lowest (34.9%). Among the journals, Der Nervenarzt mentioned ethics approval most frequently (59.4%) and Der Chirurg least frequently (30%).Our results point to significant deficits in mentioning ethics approval in medical theses and publications. These deficits could easily be compensated for by a thorough approach of the referees of doctoral regulations and by journal reviewers and editors.

Reconstruction of facial nerve after radical parotidectomy.

PubMed

Renkonen, Suvi; Sayed, Farid; Keski-Säntti, Harri; Ylä-Kotola, Tuija; Bäck, Leif; Suominen, Sinikka; Kanerva, Mervi; Mäkitie, Antti A

2015-01-01

Most patients benefitted from immediate facial nerve grafting after radical parotidectomy. Even weak movement is valuable and can be augmented with secondary static operations. Post-operative radiotherapy does not seem to affect the final outcome of facial function. During radical parotidectomy, the sacrifice of the facial nerve results in severe disfigurement of the face. Data on the principles and outcome of facial nerve reconstruction and reanimation after radical parotidectomy are limited and no consensus exists on the best practice. This study retrospectively reviewed all patients having undergone radical parotidectomy and immediate facial nerve reconstruction with a free, non-vascularized nerve graft at the Helsinki University Hospital, Helsinki, Finland during the years 1990-2010. There were 31 patients (18 male; mean age = 54.7 years; range = 30-82) and 23 of them had a sufficient follow-up time. Facial nerve function recovery was seen in 18 (78%) of the 23 patients with a minimum of 2-year follow-up and adequate reporting available. Only slight facial movement was observed in five (22%), moderate or good movement in nine (39%), and excellent movement in four (17%) patients. Twenty-two (74%) patients received post-operative radiotherapy and 16 (70%) of them had some recovery of facial nerve function. Nineteen (61%) patients needed secondary static reanimation of the face.

Boyish Mannerisms and Womanly Coquetry: Patients with the Diagnosis of Transvestitismus in the Helsinki Psychiatric Clinic in Finland, 1954–68

PubMed Central

Parhi, Katariina

2018-01-01

This article examines the case files of patients diagnosed with Transvestitismus [transvestism] in the Psychiatric Clinic of the Helsinki University Central Hospital in the years 1954–68. These individuals did not only want to cross-dress, but also had a strong feeling of being of a different sex from their assigned one. The scientific concept of transsexuality had begun to take form, and this knowledge reached Finland in phases. The case files of the transvestism patients show that they were highly aware of their condition and were very capable of describing it, even if they had no medical name for it. Psychiatrists were willing to engage in dialogue with the patients, and did not treat them as passive objects of study. Although some patients felt that they had been helped, many left the institution as frustrated, angered or desperate as before. They had sought medical help in the hope of having their bodies altered to correspond to their identity, but the Clinic psychiatrists insisted on seeing the problem in psychiatric terms and did not recommend surgical or hormonal treatments in most cases. This attitude would gradually change over the course of the 1970s and 1980s. PMID:29199927

Historical Space Climate Data from Finland: Compilation and Analysis

NASA Astrophysics Data System (ADS)

Nevanlinna, Heikki

2004-10-01

We have compiled archived geomagnetic observations from the Helsinki magnetic observatory as well as visual sightings of auroral occurrence in Finland. The magnetic database comprises about 2 000 000 observations of H- and D-components measured during 1844-1909 with time resolution of 10 min to 1 h. In addition, magnetic observations carried out in the First and Second Polar Years in Finland have been recompiled. Magnetic activity indices (three-hour K-and daily Ak-figures) have been derived from the magnetic observations. Comparisons between the Finnish indices and simultaneous global aa-index (starting in 1868) show a good mutual correlation. The Helsinki activity index series can be used as a (pseudo) extension of the aa-index series for about two solar cycles 1844d -1868. On the annual level the correlation coefficient is about 0.9 during the overlapped time interval 1868-1897. The auroral database consists of about 20 000 single observations observed in Finland since the year 1748. The database of visual auroras has been completed by auroral occurrence (AO) index data derived from the Finnish all-sky camera recordings during 1973 -1997 at several sites in Lapland. The AO-index reveals both spatial and temporal variations of auroras from diurnal to solar cycle time scales in different space weather conditions.

CALL FOR PAPERS: 13th International Conference on Force and Mass Measurement

NASA Astrophysics Data System (ADS)

1992-01-01

10 14 May 1993, Helsinki Fair Centre, Finland Scope of the Conference The Conference reports and reviews the state of the art and future trends in force and mass measurements in science and industry. Emphasis is on the applications of new methods, current problems in calibration and quality control, as well as on advancements in new sensor technologies and industrial application of force and mass measurements. Main Themes and Topics 1. The state of the art and development trends in force and mass measurements Development and stability of high level mass standards Mass comparators and force standard machine New research topics in mass and force 2. Calibration and quality control Calibration methods Estimation of uncertainties and classification of accuracies Relations between calibration, testing and quality control Requirements for quality control Verification of weighing instruments and their main devices 3. Application of force and mass measurements Automatic weighing Mass flow measurements Quality control in process industry Sensor technologies Practical applications Special applications in industry, trade, etc. Deadline for submission of abstracts: 30 June 1992. For further information please contact: Finnish Society of Automation, Asemapäällikönkatu 12C, SF-00520 HELSINKI, Finland Phone: Int. +3580 1461 644, Fax: Int. +3580 1461 650

The use of local natural stone in construction of St. Petersburg region and south-east Finland

NASA Astrophysics Data System (ADS)

Luodes, Hannu; Härmä, Paavo; Panova, Elena; Pirinen, Heikki; Selonen, Olavi

2013-04-01

A three-year project, started in 2012, "Efficient use of natural stone in the Leningrad region and South-East Finland", studies the use and durability of natural stone in the city environments in the Nordic climate and especially along the Eastern Baltic Sea coastline between Helsinki and St. Petersburg. The project is lead by the Geological Survey of Finland (GTK) and the partners in the project are Saimaa University of Applied Sciences from Finland and Federal State Unitary Enterprise "Petersburg Complex Geological Expedition" Russian together with Saint-Petersburg State University from the Russian Federation. As associates in this project are also natural stone companies from Finland, Ylämaa Group Oy and Palin Granit Oy. The project is co-funded by the European Union, the Russian Federation and the Republic of Finland through the European Neighbourhood and Partnership Instrument (ENPI). A great potential of natural stone that can be used in construction is located in the border zone between South-East Finland and the Leningrad region. Rapakivi granite from that area has been utilized for several important buildings worldwide since 18th century and the area holds still potential for future economic growth. The use of the stone particularly from this area is based on its visual expression and good properties with high durability and long life cycle that can be used as arguments in the future development. Strengthening of the knowledge of the material reserves in the area gives a long term basement for economic development. Special aim of the project is to promote the use of natural stone in the city construction, especially the use of left-over stone generated in the production. In the project the use of natural stone in larger cities from the 18th century until today including the towns St. Petersburg, Vyborg, Helsinki, Kuopio and Kotka will be reported. Also an analysis of the near future needs of natural stone (qualities and quantities) in reconstruction and construction in the southern Finland and St. Petersburg regions will be documented. That is to generate ideas for definition of new environmental building products using left-over natural stone from quarrying. The project will provide detailed data about long term durability of stone structures in the cities that are along the Baltic Sea shoreline (St. Petersburg, Helsinki) and subject to both mechanical and biological weathering. Mechanical weathering by several annual freeze-thaw cycles is especially typical in these coastal climate conditions. The data will be used in characterization of the durability and weathering mechanisms of different stone types and is used in preparation of guidelines of stone selection for construction and renovation. The data on natural stone resources in the project area will be evaluated and collected in a database. Also the best natural stone evaluation methods from Finland and Russia will be assessed to produce a guidance of best practices for prospecting and evaluation of natural stone occurrences. The project will also generate suggestions for making the natural stone trade between the EU and Russia easier.

Duration of breast-feeding and adiposity in adult life.

PubMed

O'Tierney, Perrie F; Barker, David J P; Osmond, Clive; Kajantie, Eero; Eriksson, Johan G

2009-02-01

Few studies have examined whether the duration of breast-feeding is associated with BMI in adult life. In the past, the heights and weights of infants and the duration of breast-feeding were routinely recorded at infant welfare clinics in Helsinki, Finland. Most infants in the city were taken to these free clinics. The Helsinki Birth Cohort comprises 13,345 people born in the city during 1934-1944; 84% were breast-fed. In 2001, a questionnaire was sent to members of the cohort asking about their weight and height. A random sample of 2003 men and women attended a clinic at which height, weight, and body composition were measured. We studied sibships that included 2 or more people from the cohort. There were 1823 subjects: 831 had completed the questionnaire; 129 had attended the clinic. We grouped the subjects according to duration of breast-feeding: 0-2 mo, 3-4 mo, 5-7 mo, and 8 mo or more. We compared siblings who were discordant for duration of breast-feeding. We found that a longer period of breast-feeding was associated with lower BMI at 1 y of age (P = 0.04 for a linear trend). This relation disappeared by the age of 7 y. People breast-fed for 5-7 mo had the lowest reported BMI at age 60 y, although this was not statistically significant; 8.8% more people breast-fed for 8 mo or more had reported BMIs that were overweight (25 to 30 kg/m(2)) compared with those breast-fed for shorter periods (P = 0.06). Breast-feeding for <2 mo or 8 mo or more was associated with an increased BMI and percentage body fat in later life, measured at the clinic (P = 0.08 and P = 0.03 for quadratic trends). We conclude that breast-feeding for <2 mo may be deleterious, possibly because of lack of exposure to protective factors in breast milk. Breast-feeding beyond 8 mo may be deleterious because mother's hormones in breast milk reset the infant's hypothalamic-pituitary-thyroid axis.

Ambulatory blood pressure and arterial stiffness in individuals with type 1 diabetes.

PubMed

Lithovius, Raija; Gordin, Daniel; Forsblom, Carol; Saraheimo, Markku; Harjutsalo, Valma; Groop, Per-Henrik

2018-05-24

This study aimed to assess the use of ambulatory BP monitoring (ABPM) to identify the presence of masked, nocturnal and white-coat hypertension in individuals with type 1 diabetes, patterns that could not be detected by regular office-based BP monitoring alone. We also analysed associations between BP patterns and arterial stiffness in order to identify individuals at cardiovascular risk. This substudy included 140 individuals with type 1 diabetes from the Helsinki metropolitan area, who attended the Finnish Diabetic Nephropathy Study (FinnDiane) Centre in Helsinki between January 2013 and August 2017. Twenty-four hour ABPM and pulse wave analysis were performed simultaneously using a validated non-invasive brachial oscillometric device (Mobil-O-Graph). Definitions of hypertension were based on the European Society of Hypertension guidelines. Masked hypertension was defined as normal office BP (BP obtained using a standardised automated BP device) but elevated 24 h ABPM, and white-coat hypertension as elevated office BP but normal 24 h ABPM. A total of 38% of individuals were normotensive and 33% had sustained hypertension, while 23% had masked and 6% had white-coat hypertension. About half of the cohort had increased absolute levels of night-time BP, half of whom were untreated. In the ambulatory setting, central BP and pulse wave velocity (PWV) were higher in participants with masked hypertension than in those with normotension (p ≤ 0.001). In a multivariable linear regression model adjusted for age, sex, BMI, antihypertensive treatment and eGFR, masked hypertension was independently associated with higher 24 h PWV (β 0.50 [95% CI 0.34, 0.66]), but not with PWV obtained during resting conditions (adjusted β 0.28 [95% CI -0.53, 1.10]), using normotension as the reference group. ABPM analysis revealed that one-quarter of the participants with type 1 diabetes had masked hypertension; these individuals would not have been detected by office BP alone. Moreover, arterial stiffness was increased in individuals with masked hypertension. These findings support the use of ABPM to identify individuals at risk of cardiovascular disease.

Musical outgroups and the paradox of social bonding. Comment on "Music, empathy and cultural understanding" by E. Clark et al.

NASA Astrophysics Data System (ADS)

Overy, Katie

2015-12-01

Clarke, DeNora and Vuoskoski's valuable review paper [2] raises the proposition that passive musical listening experiences can increase 'dispositional empathy' in individuals and consequently lead to increased positive feeling towards other cultural groups. The challenge of integrating relevant ideas and evidence from neuroscience, philosophy, psychology, sociology and community music is met convincingly, alongside the presentation of empirical data and a new model of empathic music listening. The resulting discussion brings social, motor and emotional aspects of musical behavior to the forefront and sparks a number of ideas and questions.

Impact of Outreach on Physics Enrollment in Idaho

NASA Astrophysics Data System (ADS)

Shropshire, Steven

2013-04-01

Idaho State University Physics Outreach has many aspects, from workshops for teachers, demonstration presentations for schools and community groups, Science Olympics, science festivals, and a Haunted Science Lab. An overview of these programs will be presented, followed by a more detailed description of the mechanics and methods that have made physics outreach programs at ISU a success, and the impact they have had on physics enrollment at ISU. Suggestions on how to get started with science outreach, get funding, involve student and community members, and convince your colleagues and administration that these efforts are worth supporting will be provided.

Feasibility of Epidemiologic Research on Nonauditory Health Effects of Residential Aircraft Noise Exposure. Volume 2. Background, General Process Model and Potential Studies

DTIC Science & Technology

1989-01-27

Epidemiologic Study in 120 Oklahoma City 5.4 Chronic Exposure to Sonic Booms 122 5.4.1 White Sands Missile Range 122 5.4.2 Areas Overflown by SR-71 123...5.5 Chronic Exposure to Subsonic Civil Aircraft Noise 123 5.5.1 Design of an Ecologic Study in Airport Environs 124 Iv 5.5.2 Preliminary Evaluation of...dosage-effect relationships for different groups of individuals, one must be able to argue convincingly that a noise measure reflects some aspect of

Serum uric acid levels and multiple health outcomes: umbrella review of evidence from observational studies, randomised controlled trials, and Mendelian randomisation studies.

PubMed

Li, Xue; Meng, Xiangrui; Timofeeva, Maria; Tzoulaki, Ioanna; Tsilidis, Konstantinos K; Ioannidis, John PA; Campbell, Harry; Theodoratou, Evropi

2017-06-07

Objective  To map the diverse health outcomes associated with serum uric acid (SUA) levels. Design  Umbrella review. Data sources  Medline, Embase, Cochrane Database of Systematic Reviews, and screening of citations and references. Eligibility criteria  Systematic reviews and meta-analyses of observational studies that examined associations between SUA level and health outcomes, meta-analyses of randomised controlled trials that investigated health outcomes related to SUA lowering treatment, and Mendelian randomisation studies that explored the causal associations of SUA level with health outcomes. Results  57 articles reporting 15 systematic reviews and144 meta-analyses of observational studies (76 unique outcomes), 8 articles reporting 31 meta-analyses of randomised controlled trials (20 unique outcomes), and 36 articles reporting 107 Mendelian randomisation studies (56 unique outcomes) met the eligibility criteria. Across all three study types, 136 unique health outcomes were reported. 16 unique outcomes in meta-analyses of observational studies had P<10 -6 , 8 unique outcomes in meta-analyses of randomised controlled trials had P<0.001, and 4 unique outcomes in Mendelian randomisation studies had P<0.01. Large between study heterogeneity was common (80% and 45% in meta-analyses of observational studies and of randomised controlled trials, respectively). 42 (55%) meta-analyses of observational studies and 7 (35%) meta-analyses of randomised controlled trials showed evidence of small study effects or excess significance bias. No associations from meta-analyses of observational studies were classified as convincing; five associations were classified as highly suggestive (increased risk of heart failure, hypertension, impaired fasting glucose or diabetes, chronic kidney disease, coronary heart disease mortality with high SUA levels). Only one outcome from randomised controlled trials (decreased risk of nephrolithiasis recurrence with SUA lowering treatment) had P<0.001, a 95% prediction interval excluding the null, and no large heterogeneity or bias. Only one outcome from Mendelian randomisation studies (increased risk of gout with high SUA levels) presented convincing evidence. Hypertension and chronic kidney disease showed concordant evidence in meta-analyses of observational studies, and in some (but not all) meta-analyses of randomised controlled trials with respective intermediate or surrogate outcomes, but they were not statistically significant in Mendelian randomisation studies. Conclusion  Despite a few hundred systematic reviews, meta-analyses, and Mendelian randomisation studies exploring 136 unique health outcomes, convincing evidence of a clear role of SUA level only exists for gout and nephrolithiasis. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.

PubMed

Koskinen, M J; Hewetson, M; Pöytäkangas, M R

2015-09-01

Infiltrative disease of the intestine is an important cause of weight loss in the horse. Infiltration of inflammatory or neoplastic cells into the intestinal wall and intestinal fibrosis cause changes in the integrity of the intestinal wall. This may lead to altered intestinal permeability which can be measured using the contrast medium iohexol. To determine if iohexol intestinal permeability, as evaluated by serum iohexol concentration, could be used to differentiate between healthy horses and horses with infiltrative disease of the large colon. Prospective non-randomised controlled clinical trial. Six healthy adult horses and 4 horses with chronic infiltrative disease of the large colon were used in the study. Infiltrative disease was confirmed on post mortem in all cases, and included alimentary lymphoma and mycobacterial granulomatous enterocolitis. Following a 16-h fast, each horse was dosed with 1.0 ml/kg bwt of iohexol as a 10% solution via nasogastric intubation. Blood samples were collected at 0, 30, 60, 120, 180, 240, 300, 360, 420 and 480 min after dosing. Iohexol concentration was determined using HPLC-UV and the differences between the groups were analysed with a repeated measures ANOVA. There was a statistically significant difference in iohexol serum concentration between the diseased and nondiseased horses (P = 0.001). The overall difference in the mean iohexol concentration between the 2 groups was 6.07 (95% CI 3.19-8.96) μg/ml, however there appeared to be a trend towards increasing difference at later time points (240, 300, 360 min). The iohexol permeability test has potential as a diagnostic tool for estimation of intestinal permeability in horses with infiltrative intestinal disease. Further studies are warranted to determine whether the test can be used to determine the site of intestinal pathology, predict the prognosis and potentially evaluate the response to treatment. The authors thank Professor Riitta-Mari Tulamo and Professor Thomas Spillmann and the staff of Equine College Ypäjä and the University of Helsinki Equine Teaching Hospital. The cooperation of horse owners is gratefully acknowledged. Ethical animal research: The study protocol was approved by the National Animal Experiment Board of Finland (Eläinkoelautakunta ELLA, Request for Animal Experiments, ref. no. ESAVI-2010-06567/Ym-23). For client-owned animals, owner informed consent was obtained. This study was funded by the Faculty of Veterinary Medicine, University of Helsinki, Finland. Competing interests: None declared. © 2015 The Author(s). Equine Veterinary Journal © 2015 EVJ Ltd.

[Recognition of international ethics codes by physicians and biomedical investigators. Are we prepared for the 21st century challenges?].

PubMed

Ponce-de-León, Sergio

2004-01-01

International oaths and declarations (IOD) represent the essence of proposals or promises on a relevant global issue for which a social group stands for. Their appropriate spread is essential in order for them to have a significant impact. The purpose of this study was to determine the frequency of recognition of several medical practice and clinical research related IOD, among medical personnel differentiated by level of clinical experience and closeness to biomedical research. Five groups were surveyed: 35 undergraduate interns, 50 internal medicine residents, 19 graduate (masters and doctoral degrees) students at the outset of courses, 18 veteran graduate students and 70 biomedical investigators. Performance in the recognition of the 6 probed IOD was uniformly poor. Barely just an average of about one declaration per subject was adequately identified. The Declaration of Helsinki was recognized by more than 50% of those belonging to the groups in which theory and practice of medical research joined together. No other IOD was recognized beyond a 40% level in any group. Comparison of university of origin showed no substantial differences. The lack of knowledge of IOD as a framework in the analysis of ethical conflicts arising along medical practice or clinical research is a worrisome issue. Medical schools seem to neglect their role in divulging them. Institutional review boards should also contribute to divulge IOD. The optimal incorporation of the IOD message comes from its acquisition through a process that links theory and practice.

How do veterinary students' motivation and study practices relate to academic success?

PubMed

Mikkonen, Johanna; Ruohoniemi, Mirja

2011-01-01

The aim of the present study was to explore the factors associated with veterinary students' study success. All veterinary students who began their studies at the University of Helsinki in 2005 participated in this qualitative longitudinal study (N=52). The data consisted of assignments that the students completed at the beginning of their studies and again after three years of studying. The focus was on differences in motivation and study practices as well as possible changes in these over the three-year period. The students were divided into three groups according to their study success (grade point average and study progress). These groups were compared according to group-level differences in the categorized data. The most successful students already described themselves using more positive words than other students at the beginning of their veterinary studies. In addition, they seemed more adaptive in relation to the study's demands. However, there were drops in both the most and least successful students' motivation during their studies. The findings suggest that it is possible to predict forthcoming study problems by analyzing students' study practices and their own descriptions of themselves as learners. In addition, the results show that veterinary students' high motivation cannot be taken for granted. The comparative and longitudinal perspective of the present study can be useful in the development of curricula and in student support.

Variations on cardiovascular risk factors in metabolic syndrome after consume of a citrus-based juice.

PubMed

Mulero, Juana; Bernabé, Juana; Cerdá, Begoña; García-Viguera, Cristina; Moreno, Diego A; Albaladejo, Maria Dolores; Avilés, Francisco; Parra, Soledad; Abellán, José; Zafrilla, Pilar

2012-06-01

Inflammation and oxidative stress plays a critical role in cardiovascular disease and metabolic syndrome often occurs with these two variables. The aim of the study is to estimate variations on cardiovascular risk factors in Metabolic Syndrome patients after consume of a citrus-based juice compared with control groups. The study comprised 20 healthy subjects and 33 patients with Metabolic Syndrome. 18 patients consume daily 300 mL of a citrus-based juice during 6 month and 15 patients consume 300 mL of a placebo beverage. The control group consumes a citrus-based juice. Before, at fourth month and at sixth month after treatment the following parameters were determined: lipid profile, oxidized LDL, C-Reactive Protein and Homocysteine. The study was carried out in accordance with the Helsinki Declaration, and the Ethical Committee of the San Antonio Catholic University and approved the protocol (6 November 2006, register number: 1424). After six months of citrus-based juice consuming, there is significant differences at 95% confidence in oxidized LDL, C-Reactive Protein, and Homocysteine in Metabolic Syndrome patients who consume citrus-based juice. We have not found significant differences in other groups. Consume of citrus-based juice improve lipid profile and inflammation markers in Metabolic Syndrome patients. Copyright © 2011 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

The human rights context for ethical requirements for involving people with intellectual disability in medical research.

PubMed

Iacono, T; Carling-Jenkins, R

2012-11-01

The history of ethical guidelines addresses protection of human rights in the face of violations. Examples of such violations in research involving people with intellectual disabilities (ID) abound. We explore this history in an effort to understand the apparently stringent criteria for the inclusion of people with ID in research, and differences between medical and other research within a single jurisdiction. The history of the Helsinki Declaration and informed consent within medical research, and high-profile examples of ethical misconduct involving people with ID and other groups are reviewed. The UN Convention on the Rights of Persons with Disabilities is then examined for its research implications. This background is used to examine a current anomaly within an Australian context for the inclusion of people with ID without decisional capacity in medical versus other types of research. Ethical guidelines have often failed to protect the human rights of people with ID and other vulnerable groups. Contrasting requirements within an Australian jurisdiction for medical and other research would seem to have originated in early deference to medical authority for making decisions on behalf of patients. Stringent ethical requirements are likely to continue to challenge researchers in ID. A human rights perspective provides a framework for engaging both researchers and vulnerable participant groups. © 2012 The Authors. Journal of Intellectual Disability Research © 2012 Blackwell Publishing Ltd.

Strong tobacco control program requirements and secure funding are not enough: lessons from Florida.

PubMed

Kennedy, Allison; Sullivan, Sarah; Hendlin, Yogi; Barnes, Richard; Glantz, Stanton

2012-05-01

Florida's Tobacco Pilot Program (TPP; 1998-2003), with its edgy Truth media campaign, achieved unprecedented youth smoking reductions and became a model for tobacco control programming. In 2006, 3 years after the TPP was defunded, public health groups restored funding for tobacco control programming by convincing Florida voters to amend their constitution. Despite the new program's strong legal structure, Governor Charlie Crist's Department of Health implemented a low-impact program. Although they secured the program's strong structure and funding, Florida's nongovernmental public health organizations did not mobilize to demand a high-impact program. Implementation of Florida's Amendment 4 demonstrates that a strong programmatic structure and secure funding are insufficient to ensure a successful public health program, without external pressure from nongovernmental groups.

Grade II whiplash injuries to the neck: what is the benefit for patients treated by different physical therapy modalities?

PubMed Central

Dehner, Christoph; Elbel, Martin; Strobel, Philipp; Scheich, Matthias; Schneider, Florian; Krischak, Gert; Kramer, Michael

2009-01-01

Background In a majority of cases, whiplash injuries are a domain of conservative therapy. Nevertheless it remains unclear whether physical therapy is of medical or economic benefit in patients with whiplash injuries. Methods Seventy patients with acute Quebec Task Force (QTF) grade II whiplash injuries were randomized to two therapy groups and received either active (APT) or passive (PPT) physical therapy. Patients were compared with regard to pain and range of motion with data obtained in an earlier study from a group with grade II whiplash injuries in which the therapy recommendation had been "act as usual" (AAU; n = 20). The above-mentioned parameters were assessed at 24 hours and two months after the injury. Furthermore patients' period of disability was documented after two months. Results After two months, patients in both the APT and PPT groups showed significant improvement in the median period of disability (active: 14 days; passive: 14 days) compared to the AAU group (49 days). No group difference was observed with regard to median improvement in range of motion (active: 120°; passive: 108°; activity as usual: 70°). The median pain reduction was significantly greater in the APT group (50.5) than in the PPT (39.2) or AAU group (28.8). Conclusion Our data show that active physical therapy results in enhanced pain reduction and shortening of post-injury disability. Therefore, active physical therapy should be considered the treatment of choice in patients with QTF grade II whiplash injuries. Trial registration The study complied with applicable German law and with the principles of the Helsinki Declaration and was approved by the institutional ethics commission. PMID:19149880

"Coffee plus honey" versus "topical steroid" in the treatment of chemotherapy-induced oral mucositis: a randomised controlled trial.

PubMed

Raeessi, Mohammad Ali; Raeessi, Neda; Panahi, Yunes; Gharaie, Homa; Davoudi, Seyyed Masoud; Saadat, Alireza; Karimi Zarchi, Ali Akbar; Raeessi, Fereshteh; Ahmadi, Seyyed Mostafa; Jalalian, Hamidreza

2014-08-08

Oral mucositis is one of the common complications of cancer chemotherapy and about 40% of the patients who take chemotherapy protocols, experience this irritating problem. The purpose of this study was to draw comparison between the therapeutic effects of our treatment modalities (topical steroid, honey, honey plus coffee) in patients suffering from oral mucositis. This was a double blinded randomised clinical trial of a total of 75 eligible adult participants which they randomly fell into three treatment groups. For all the participants a syrup-like solution was prepared. Each 600 grams of the product consisted of "20 eight-mg Betamethasone solution ampoules" in the Steroid (S) group, "300 grams of honey plus 20 grams of instant coffee" in the Honey plus Coffee (HC) group, and "300 grams of honey" for the Honey (H) group. The participants were told to sip 10 ml of the prescribed product, and then swallow it every three hours for one week. Severity of lesions was clinically evaluated before the treatment and also one week after the initiation of the intervention. This study adhered to the principles of the Declaration of Helsinki and guidelines of Good Clinical Practice. This study showed that all three treatment regimens reduce the severity of lesions. The best reduction in severity was achieved in HC group. H group and S group took the second and third places. In other words, honey plus coffee regimen was the most effective modality for the treatment of oral mucositis. Oral mucositis can be successfully treated by a combination of honey and coffee as an alternative medicine in a short time. Further investigations are warranted in this field. Iranian Registry of Clinical Trials IRCT: 201104074737N3, (9 May 2011).

Regional Meeting of Experts on Environmental Education in Europe, Helsinki, Finland, 27-31 January 1977. Final Report.

ERIC Educational Resources Information Center

United Nations Educational, Scientific, and Cultural Organization, Paris (France). Environmental Education Section.

This is the final report on the background and proceedings of the Regional Meeting of Experts on Environmental Education in Europe, convened by UNESCO with the collaboration of the Ministry of Education in Finland. The meeting was the last one in a series of five meetings of this type that have been held in all regions of the world as a part of…

JPRS Report, East Europe

DTIC Science & Technology

1989-12-07

Unquestionably, Walesa is a great political talent . He makes excellent use of the economic situation, is intuitive, and is a fast learner. He is able...occasion, with no guarantee that you will live to see it." Mazowiecki lived to see it. This type of figure and character turned out to be necessary in...estate in Austria and hereditary prince of an aristocratic family whose history dates back 700 years. [VJESNIK] What is the source of the Helsinki federa

A Matched Field Processing Framework for Coherent Detection Over Local and Regional Networks

DTIC Science & Technology

2011-06-01

Northern Finland Seismological Network, FN) and to the University of Helsinki for data from the VRF and HEF stations (part of the Finnish seismograph ...shows the results of classification with the FK measurement . Most of the events are incorrectly assigned to one particular mine (K2 – Rasvumchorr...generalization of the single-phase matched field processing method that encodes the full structure of the entire wavefield? What would this

In Search of the Third Eye, When the Two Others Are Shamefacedly Shut? Comment on "Are Sexual and Reproductive Health Policies Designed for All? Vulnerable Groups in Policy Documents of Four European Countries and Their Involvement in Policy Development".

PubMed

Keygnaert, Ines

2016-02-11

Ivanova et al explored how vulnerable groups and principles of human rights are incorporated into national sexual and reproductive health (SRH) policies in 4 countries. They adapted the EquiFrame of Amin and colleagues of 2011, to SRH vulnerable groups which we believe could now be used for analysis of national SRH polices beyond those 4 countries. Although we fully agree with the authors' two main findings that vulnerable groups and human rights' principles are not sufficiently integrated in SRH policies nor granted the possibility to participate in the process of development in those four countries, we do believe that these shortcomings are not limited to those countries only nor to the identified vulnerable groups either. We are convinced that the issue of SRH as such is still framed within a very limited logic for all with vulnerable groups being perceived as an extra threat or an extra burden. © 2016 by Kerman University of Medical Sciences.

Does conflict between home and work explain the effect of multiple roles on mental health? A comparative study of Finland, Japan, and the UK.

PubMed

Chandola, Tarani; Martikainen, Pekka; Bartley, Mel; Lahelma, Eero; Marmot, Michael; Michikazu, Sekine; Nasermoaddeli, Ali; Kagamimori, Sadanobu

2004-08-01

Although there have been a number of studies on the effects of multiple roles on health and how a combination of work and family roles may be either advantageous (role enhancement) or disadvantageous (role strain) for health, there has been relatively little investigation on the psychosocial content of such roles. Work-to-family conflict and family-to-work conflict could arise from inability to combine multiple roles and result in stress and ill health. The question of whether both types of conflict mediate between the association of multiple roles with health has not been analysed before. This paper sets out to investigate whether: (1) work-to-family conflict or family-to-work conflict contributes towards explaining the association of multiple roles with mental health; (2) the effect of work-to-family conflict and family-to-work conflict on mental health varies by gender; (3) the effect of work-to-family and family-to-work conflict on mental health vary between countries with different welfare state arrangements and social norms. Cross-sectional data of economically active male and female public sector employees aged 35-60 in London (UK), Helsinki (Finland), and the West Coast of Japan. Linear regression models (separate for each gender and cohort) of SF-36 mental component scores were analysed with role combinations, family-to-work and work-to-family conflict as explanatory variables. Single fathers in all three cohorts and of single mothers in the Helsinki cohort had poor mental health, and this was partly explained by their higher levels family-to-work conflict. Both types of conflict affect the mental health of men and women independently of each other. Japanese women had the greatest conflict and poorest mental health while Helsinki women had the lowest conflict and best mental health. Both work-to-family and family-to-work conflict affect the mental health of men and women in three different countries. Work and family roles and the balance between the two may be important for the mental health of men and women in industrialized societies. Any analysis of the effect of multiple roles on health needs to take into account the psychosocial content of such roles.

Relationship between different size classes of particulate matter and meteorology in three European cities.

PubMed

de Hartog, Jeroen J; Hoek, Gerard; Mirme, Aadu; Tuch, Thomas; Kos, Gerard P A; ten Brink, Harry M; Brunekreef, Bert; Cyrys, Josef; Heinrich, Joachim; Pitz, Mike; Lanki, Timo; Vallius, Marko; Pekkanen, Juha; Kreyling, Wolfgang G

2005-04-01

Evidence on the correlation between particle mass and (ultrafine) particle number concentrations is limited. Winter- and spring-time measurements of urban background air pollution were performed in Amsterdam (The Netherlands), Erfurt (Germany) and Helsinki (Finland), within the framework of the EU funded ULTRA study. Daily average concentrations of ambient particulate matter with a 50% cut off of 2.5 microm (PM2.5), total particle number concentrations and particle number concentrations in different size classes were collected at fixed monitoring sites. The aim of this paper is to assess differences in particle concentrations in several size classes across cities, the correlation between different particle fractions and to assess the differential impact of meteorological factors on their concentrations. The medians of ultrafine particle number concentrations were similar across the three cities (range 15.1 x 10(3)-18.3 x 10(3) counts cm(-3)). Within the ultrafine particle fraction, the sub fraction (10-30 nm) made a higher contribution to particle number concentrations in Erfurt than in Helsinki and Amsterdam. Larger differences across the cities were found for PM2.5(range 11-17 microg m(-3)). PM2.5 and ultrafine particle concentrations were weakly (Amsterdam, Helsinki) to moderately (Erfurt) correlated. The inconsistent correlation for PM2.5 and ultrafine particle concentrations between the three cities was partly explained by the larger impact of more local sources from the city on ultrafine particle concentrations than on PM2.5, suggesting that the upwind or downwind location of the measuring site in regard to potential particle sources has to be considered. Also, relationship with wind direction and meteorological data differed, suggesting that particle number and particle mass are two separate indicators of airborne particulate matter. Both decreased with increasing wind speed, but ultrafine particle number counts consistently decreased with increasing relative humidity, whereas PM2.5 increased with increasing barometric pressure. Within the ultrafine particle mode, nucleation mode (10-30 nm) and Aitken mode (30-100 nm) had distinctly different relationships with accumulation mode particles and weather conditions. Since the composition of these particle fractions also differs, it is of interest to test in future epidemiological studies whether they have different health effects.

Interdisciplinary Studies on the Combat Readiness and Health Issues Faced by Military Personnel

DTIC Science & Technology

2009-09-01

related activity in single subjects, and this facilitates clinical diagnosis in which single subjects are the focus of investigation. Methods...Good Clinical Practice Guidelines, the Declaration of Helsinki, and the U.S. Code of Federal Regulations. Written and informed consent was obtained from...S, and a temporal loading T. For two triplets: (Fa, Sa, Ta) and (Fb, Sb, Tb), we define the triplet similarity metric Cab = FTa Fb STaSb TTa

A novel upgrade to Helsinki AMS: Fast switching of isotopes with electrostatic deflectors

NASA Astrophysics Data System (ADS)

Palonen, V.; Tikkanen, P.

2015-10-01

We have developed and installed electrostatic deflectors at the injection magnet entrance and exit to enable fast switching between isotopes in AMS measurements. The fast selection of the injected isotope, stable isotope current measurements, and rare isotope detection are all performed with three synchronized real-time NI-PXI computers. With the improvements, we are able to attain a precision of better than 0.2% for the 14C/13C ratio of modern samples.

Reinforcing Deterrence on NATO’s Eastern Flank: Wargaming the Defense of the Baltics

DTIC Science & Technology

2016-01-01

RUSSIA RUSSIA FINLAND POLAND LITHUANIA LATVIA ESTONIA BELARUS Vilnius Riga Helsinki Tallinn Minsk 6 ritorial integrity of the two countries. Under the best...them under Moscow’s nuclear umbrella. By turning a NATO counterattack aimed at liberating the Baltic republics into an “invasion” of “Russia...fires systems, in territory that even NATO would agree constitutes “Russia.” Under Russian doctrine, it is unclear what kinds or magnitudes of

Are Urban Stream Restoration Plans Worth Implementing?

NASA Astrophysics Data System (ADS)

Sarvilinna, Auri; Lehtoranta, Virpi; Hjerppe, Turo

2017-01-01

To manage and conserve ecosystems in a more sustainable way, it is important to identify the importance of the ecosystem services they provide and understand the connection between natural and socio-economic systems. Historically, streams have been an underrated part of the urban environment. Many of them have been straightened and often channelized under pressure of urbanization. However, little knowledge exists concerning the economic value of stream restoration or the value of the improved ecosystem services. We used the contingent valuation method to assess the social acceptability of a policy-level water management plan in the city of Helsinki, Finland, and the values placed on improvements in a set of ecosystem services, accounting for preference uncertainty. According to our study, the action plan would provide high returns on restoration investments, since the benefit-cost ratio was 15-37. Moreover, seventy-two percent of the respondents willing to pay for stream restoration chose "I want to conserve streams as a part of urban nature for future generations" as the most motivating reason. Our study indicates that the water management plan for urban streams in Helsinki has strong public support. If better marketed to the population within the watershed, the future projects could be partly funded by the local residents, making the projects easier to accomplish. The results of this study can be used in planning, management and decision making related to small urban watercourses.

Atmospheric pressure and suicide attempts in Helsinki, Finland

NASA Astrophysics Data System (ADS)

Hiltunen, Laura; Ruuhela, Reija; Ostamo, Aini; Lönnqvist, Jouko; Suominen, Kirsi; Partonen, Timo

2012-11-01

The influence of weather on mood and mental health is commonly debated. Furthermore, studies concerning weather and suicidal behavior have given inconsistent results. Our aim was to see if daily weather changes associate with the number of suicide attempts in Finland. All suicide attempts treated in the hospitals in Helsinki, Finland, during two separate periods, 8 years apart, were included. Altogether, 3,945 suicide attempts were compared with daily weather parameters and analyzed with a Poisson regression. We found that daily atmospheric pressure correlated statistically significantly with the number of suicide attempts, and for men the correlation was negative. Taking into account the seasonal normal value during the period 1971-2000, daily temperature, global solar radiation and precipitation did not associate with the number of suicide attempts on a statistically significant level in our study. We concluded that daily atmospheric pressure may have an impact on suicidal behavior, especially on suicide attempts of men by violent methods ( P < 0.001), and may explain the clustering of suicide attempts. Men seem to be more vulnerable to attempt suicide under low atmospheric pressure and women under high atmospheric pressure. We show only statistical correlations, which leaves the exact mechanisms of interaction between weather and suicidal behavior open. However, suicidal behavior should be assessed from the point of view of weather in addition to psychiatric and social aspects.

On the early history of the Finnish Meteorological Institute

NASA Astrophysics Data System (ADS)

Nevanlinna, H.

2014-03-01

This article is a review of the foundation (in 1838) and later developments of the Helsinki (Finland) magnetic and meteorological observatory, today the Finnish Meteorological Institute (FMI). The main focus of the study is in the early history of the FMI up to the beginning of the 20th century. The first director of the observatory was Physics Professor Johan Jakob Nervander (1805-1848). He was a famous person of the Finnish scientific, academic and cultural community in the early decades of the 19th century. Finland was an autonomously part of the Russian Empire from 1809 to 1917, but the observatory remained organizationally under the University of Helsinki, independent of Russian scientific institutions, and funded by the Finnish Government. Throughout the late-19th century the Meteorological Institute was responsible of nationwide meteorological, hydrological and marine observations and research. The observatory was transferred to the Finnish Society of Sciences and Letters under the name the Central Meteorological Institute in 1881. The focus of the work carried out in the Institute was changed gradually towards meteorology. Magnetic measurements were still continued but in a lower level of importance. The culmination of Finnish geophysical achievements in the 19th century was the participation to the International Polar Year programme in 1882-1883 by setting up a full-scale meteorological and magnetic observatory in Sodankylä, Lapland.

Socio-economic circumstances and food habits in Eastern, Central and Western European populations.

PubMed

Boylan, Sinéad; Lallukka, Tea; Lahelma, Eero; Pikhart, Hynek; Malyutina, Sofia; Pajak, Andrzej; Kubinova, Ruzena; Bragina, Oksana; Stepaniak, Urszula; Gillis-Januszewska, Aleksandra; Simonova, Galina; Peasey, Anne; Bobak, Martin

2011-04-01

To assess the relationship between several socio-economic indicators and frequency of consumption of seven predefined healthy foods (consumption of fruit, vegetables, wholegrain bread, vegetable-fat spread, vegetable cooking fat, low-fat milk and low-fat cheese) in populations from Eastern, Central and Western Europe. Analysis of baseline data collected in two cross-sectional cohort studies between 2000 and 2005: the Health, Alcohol and Psychosocial factors In Eastern Europe (HAPIEE) study and the Finnish Helsinki Health Study (HHS). Urban populations in the Czech Republic, Russia, Poland and Finland. In the HAPIEE study, random samples of men and women aged 45-69 years were drawn from population registers and electoral lists of selected cities. In the HHS, men and women aged 40-60 years employed by the City of Helsinki were recruited. Data on 21,326 working subjects from both cohorts were analysed. Healthy food habits were, in general, positively associated with higher education, occupational position and fewer economic difficulties, but there were differences in the strength of the gradient by food and country. Fruit consumption showed the most consistent gradients, especially in relation to socio-economic status among men (country-specific relative index of inequality (RII)=2.02-5.17) and women (RII=2.09-3.57). The associations between socio-economic indicators and healthy food habits showed heterogeneity between countries. Future studies of dietary behaviours should consider multiple measures of socio-economic position.

Direct estimation of human trabecular bone stiffness using cone beam computed tomography.

PubMed

Klintström, Eva; Klintström, Benjamin; Pahr, Dieter; Brismar, Torkel B; Smedby, Örjan; Moreno, Rodrigo

2018-04-10

The aim of this study was to evaluate the possibility of estimating the biomechanical properties of trabecular bone through finite element simulations by using dental cone beam computed tomography data. Fourteen human radius specimens were scanned in 3 cone beam computed tomography devices: 3-D Accuitomo 80 (J. Morita MFG., Kyoto, Japan), NewTom 5 G (QR Verona, Verona, Italy), and Verity (Planmed, Helsinki, Finland). The imaging data were segmented by using 2 different methods. Stiffness (Young modulus), shear moduli, and the size and shape of the stiffness tensor were studied. Corresponding evaluations by using micro-CT were regarded as the reference standard. The 3-D Accuitomo 80 (J. Morita MFG., Kyoto, Japan) showed good performance in estimating stiffness and shear moduli but was sensitive to the choice of segmentation method. NewTom 5 G (QR Verona, Verona, Italy) and Verity (Planmed, Helsinki, Finland) yielded good correlations, but they were not as strong as Accuitomo 80 (J. Morita MFG., Kyoto, Japan). The cone beam computed tomography devices overestimated both stiffness and shear compared with the micro-CT estimations. Finite element-based calculations of biomechanics from cone beam computed tomography data are feasible, with strong correlations for the Accuitomo 80 scanner (J. Morita MFG., Kyoto, Japan) combined with an appropriate segmentation method. Such measurements might be useful for predicting implant survival by in vivo estimations of bone properties. Copyright © 2018 Elsevier Inc. All rights reserved.

[Registration of observational studies: it is time to comply with the Declaration of Helsinki requirement].

PubMed

Dal-Ré, Rafael; Delgado, Miguel; Bolumar, Francisco

2015-01-01

Publication bias is a serious deficiency in the current system of disseminating the results of human research studies. Clinical investigators know that, from an ethical standpoint, they should prospectively register clinical trials in a public registry before starting them. In addition, it is believed that this approach will help to reduce publication bias. However, most studies conducted in humans are observational rather than experimental. It is estimated that less than 2% out of 2 million concluded or ongoing observational studies have been registered. The 2013 revision of the Declaration of Helsinki requires registration of any type of research study involving humans or identifiable samples or data. It is proposed that funding agencies, such as the Fondo de Investigaciones Sanitarias, as well as private companies, require preregistration of observational studies before providing funding. It is also proposed that Research Ethics Committees which, following Spanish regulation, have been using the Declaration as the framework for assessing the ethics of clinical trials with medicines since 1990, should follow the same provisions for the assessment of health-related observational studies: therefore, they should require prospective registration of studies before granting their final approval. This would allow observational study investigators to be educated in complying with an ethical requirement recently introduced in the most important ethical code for research involving humans. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

Clinical development of new prophylactic antimalarial drugs after the 5th Amendment to the Declaration of Helsinki

PubMed Central

Dow, Geoffrey S; Magill, Alan J; Ohrt, Colin

2008-01-01

Malaria is of continuing concern in nonimmune traveling populations. Traditionally, antimalarial drugs have been developed as agents for dual indications (treatment and prophylaxis). However, since 2000, when the 5th Amendment to the Declaration of Helsinki (DH2000) was adopted, development of new malaria prophylaxis drugs in this manner has ceased. As a consequence, there may not be any new drugs licensed for this indication in the foreseeable future. Major pharmaceutical companies have interpreted DH2000 to mean that the traditional development paradigm may be considered unethical because of doubt over the likelihood of benefit to endemic populations participating in clinical studies, the use of placebo, and the sustainability of post-trial access to study medications. In this article, we explore the basis of these concerns and suggest that the traditional development paradigm remains ethical under certain circumstances. We also consider alternative approaches that may be more attractive to sponsors as they either do not use placebo, or utilize populations in endemic countries who may unambiguously benefit. These approaches represent the way forward in the future, but are at present unproven in clinical practice, and face numerous regulatory, logistical and technical challenges. Consequently, in the short term, we argue that the traditional clinical development paradigm remains the most feasible approach and is ethical and consistent with the spirit of DH2000 under the appropriate circumstances. PMID:19209263

metaCCA: summary statistics-based multivariate meta-analysis of genome-wide association studies using canonical correlation analysis.

PubMed

Cichonska, Anna; Rousu, Juho; Marttinen, Pekka; Kangas, Antti J; Soininen, Pasi; Lehtimäki, Terho; Raitakari, Olli T; Järvelin, Marjo-Riitta; Salomaa, Veikko; Ala-Korpela, Mika; Ripatti, Samuli; Pirinen, Matti

2016-07-01

A dominant approach to genetic association studies is to perform univariate tests between genotype-phenotype pairs. However, analyzing related traits together increases statistical power, and certain complex associations become detectable only when several variants are tested jointly. Currently, modest sample sizes of individual cohorts, and restricted availability of individual-level genotype-phenotype data across the cohorts limit conducting multivariate tests. We introduce metaCCA, a computational framework for summary statistics-based analysis of a single or multiple studies that allows multivariate representation of both genotype and phenotype. It extends the statistical technique of canonical correlation analysis to the setting where original individual-level records are not available, and employs a covariance shrinkage algorithm to achieve robustness.Multivariate meta-analysis of two Finnish studies of nuclear magnetic resonance metabolomics by metaCCA, using standard univariate output from the program SNPTEST, shows an excellent agreement with the pooled individual-level analysis of original data. Motivated by strong multivariate signals in the lipid genes tested, we envision that multivariate association testing using metaCCA has a great potential to provide novel insights from already published summary statistics from high-throughput phenotyping technologies. Code is available at https://github.com/aalto-ics-kepaco anna.cichonska@helsinki.fi or matti.pirinen@helsinki.fi Supplementary data are available at Bioinformatics online. © The Author 2016. Published by Oxford University Press.

metaCCA: summary statistics-based multivariate meta-analysis of genome-wide association studies using canonical correlation analysis

PubMed Central

Cichonska, Anna; Rousu, Juho; Marttinen, Pekka; Kangas, Antti J.; Soininen, Pasi; Lehtimäki, Terho; Raitakari, Olli T.; Järvelin, Marjo-Riitta; Salomaa, Veikko; Ala-Korpela, Mika; Ripatti, Samuli; Pirinen, Matti

2016-01-01

Motivation: A dominant approach to genetic association studies is to perform univariate tests between genotype-phenotype pairs. However, analyzing related traits together increases statistical power, and certain complex associations become detectable only when several variants are tested jointly. Currently, modest sample sizes of individual cohorts, and restricted availability of individual-level genotype-phenotype data across the cohorts limit conducting multivariate tests. Results: We introduce metaCCA, a computational framework for summary statistics-based analysis of a single or multiple studies that allows multivariate representation of both genotype and phenotype. It extends the statistical technique of canonical correlation analysis to the setting where original individual-level records are not available, and employs a covariance shrinkage algorithm to achieve robustness. Multivariate meta-analysis of two Finnish studies of nuclear magnetic resonance metabolomics by metaCCA, using standard univariate output from the program SNPTEST, shows an excellent agreement with the pooled individual-level analysis of original data. Motivated by strong multivariate signals in the lipid genes tested, we envision that multivariate association testing using metaCCA has a great potential to provide novel insights from already published summary statistics from high-throughput phenotyping technologies. Availability and implementation: Code is available at https://github.com/aalto-ics-kepaco Contacts: anna.cichonska@helsinki.fi or matti.pirinen@helsinki.fi Supplementary information: Supplementary data are available at Bioinformatics online. PMID:27153689

Mental exercises for cognitive function: clinical evidence.

PubMed

Kawashima, Ryuta

2013-01-01

The purpose of this study was to examine the beneficial effects of a new cognitive intervention program designed for the care and prevention of dementia, namely Learning Therapy. The training program used systematized basic problems in arithmetic and Japanese language as training tasks. In study 1, 16 individuals in the experimental group and 16 in the control group were recruited from a nursing home. In both groups, all individuals were clinically diagnosed with senile dementia of the Alzheimer type. In study 2, we performed a single-blind, randomized controlled trial in our cognitive intervention program of 124 community-dwelling seniors. In both studies, the daily training program using reading and arithmetic tasks was carried out approximately 5 days a week, for 15 to 20 minutes a day in the intervention groups. Neuropsychological measures were determined simultaneously in the groups both prior to and after six months of the intervention. The results of our investigations indicate that our cognitive intervention using reading and arithmetic problems demonstrated a transfer effect and they provide convincing evidence that cognitive training maintains and improves the cognitive functions of dementia patients and healthy seniors.

Why arguments against infanticide remain convincing: A reply to Räsänen.

PubMed

Rodger, Daniel; Blackshaw, Bruce P; Wilcox, Clinton

2018-03-01

In 'Pro-life arguments against infanticide and why they are not convincing' Joona Räsänen argues that Christopher Kaczor's objections to Giubilini and Minerva's position on infanticide are not persuasive. We argue that Räsänen's criticism is largely misplaced, and that he has not engaged with Kaczor's strongest arguments against infanticide. We reply to each of Räsänen's criticisms, drawing on the full range of Kaczor's arguments, as well as adding some of our own. © 2018 John Wiley & Sons Ltd.

Tobacco industry attempts to frame smoking as a 'disability' under the 1990 Americans with Disabilities Act

PubMed Central

van der Eijk, Yvette

2017-01-01

Using the Truth Tobacco Industry Documents Library and Congressional records, we examined the tobacco industry’s involvement with the 1990 Americans with Disabilities Act (ADA). During legislative drafting of the ADA (1989–1990), the Tobacco Institute, the tobacco industry’s lobbying and public relations arm at the time, worked with industry lawyers and civil rights groups to include smoking in the ADA’s definition of “disability.” Focus was on smoking as a perceived rather than actual disability so that tobacco companies could maintain that smoking is not addictive. Language that would have explicitly excluded smoking from ADA coverage was weakened or omitted. Tobacco Institute lawyers did not think the argument that smokers are “disabled” would convince the courts, so in the two years after the ADA was signed into law, the Tobacco Institute paid a lawyer to conduct media tours, seminars, and write articles to convince employers that hiring only non-smokers would violate the ADA. The ultimate goal of these activities was to deter employers from promoting a healthy, tobacco-free workforce and, more broadly, to promote the social acceptability of smoking. Employers and policy makers need to be aware that tobacco use is not protected by the ADA and should not be misled by tobacco industry efforts to insinuate otherwise. PMID:29176829

Digit-only sauropod pes trackways from China – evidence of swimming or a preservational phenomenon?

PubMed Central

Xing, Lida; Li, Daqing; Falkingham, Peter L.; Lockley, Martin G.; Benton, Michael J.; Klein, Hendrik; Zhang, Jianping; Ran, Hao; Persons, W. Scott; Dai, Hui

2016-01-01

For more than 70 years unusual sauropod trackways have played a pivotal role in debates about the swimming ability of sauropods. Most claims that sauropods could swim have been based on manus-only or manus-dominated trackways. However none of these incomplete trackways has been entirely convincing, and most have proved to be taphonomic artifacts, either undertracks or the result of differential depth of penetration of manus and pes tracks, but otherwise showed the typical pattern of normal walking trackways. Here we report an assemblage of unusual sauropod tracks from the Lower Cretaceous Hekou Group of Gansu Province, northern China, characterized by the preservation of only the pes claw traces, that we interpret as having been left by walking, not buoyant or swimming, individuals. They are interpreted as the result of animals moving on a soft mud-silt substrate, projecting their claws deeply to register their traces on an underlying sand layer where they gained more grip during progression. Other sauropod walking trackways on the same surface with both pes and manus traces preserved, were probably left earlier on relatively firm substrates that predated the deposition of soft mud and silt . Presently, there is no convincing evidence of swimming sauropods from their trackways, which is not to say that sauropods did not swim at all. PMID:26888058

[Groups of statutory bodies and evaluation of health recovery programmes for mothers and their child(ren) - An application of a time-based break-even analysis].

PubMed

Schönig, W

2002-01-01

Public and private expenditure in health recovery programmes for mothers and their children is stagnating. A focal point to turn around this trend is to convince the responsible statury bodies by proving both effectiveness and efficiency of these programmes. The paper suggests the application of the break-even analysis on a time-based principle. A primary calculation with the data of a major German evaluation shows significant savings if the success of the health recovery programmes holds for at least 1.19 years. Available data does not cover such a long period.

Studies of the evolution of the x ray emission of clusters of galaxies

NASA Technical Reports Server (NTRS)

Henry, J. Patrick

1990-01-01

The x ray luminosity function of clusters of galaxies was determined at different cosmic epoches using data from the Einstein Observatory Extended Medium Survey. The sample consisted of 67 x ray selected clusters that were grouped into three redshift shells. Evolution was detected in the x ray properties of clusters. The present volume density of high luminosity clusters was found to be greater than it was in the past. This result is the first convincing evidence for evolution in the x ray properties of clusters. Investigations into the constraints provided by these data on various Cold Dark Matter models are underway.

Strong Tobacco Control Program Requirements and Secure Funding Are Not Enough: Lessons From Florida

PubMed Central

Kennedy, Allison; Sullivan, Sarah; Hendlin, Yogi; Barnes, Richard

2012-01-01

Florida’s Tobacco Pilot Program (TPP; 1998–2003), with its edgy Truth media campaign, achieved unprecedented youth smoking reductions and became a model for tobacco control programming. In 2006, 3 years after the TPP was defunded, public health groups restored funding for tobacco control programming by convincing Florida voters to amend their constitution. Despite the new program’s strong legal structure, Governor Charlie Crist’s Department of Health implemented a low-impact program. Although they secured the program’s strong structure and funding, Florida’s nongovernmental public health organizations did not mobilize to demand a high-impact program. Implementation of Florida’s Amendment 4 demonstrates that a strong programmatic structure and secure funding are insufficient to ensure a successful public health program, without external pressure from nongovernmental groups. PMID:22420813

First-line icotinib versus cisplatin/pemetrexed plus pemetrexed maintenance therapy for patients with advanced EGFR mutation-positive lung adenocarcinoma (CONVINCE): a phase 3, open-label, randomized study.

PubMed

Shi, Y K; Wang, L; Han, B H; Li, W; Yu, P; Liu, Y P; Ding, C M; Song, X; Ma, Z Y; Ren, X L; Feng, J F; Zhang, H L; Chen, G Y; Han, X H; Wu, N; Yao, C; Song, Y; Zhang, S C; Song, W; Liu, X Q; Zhao, S J; Lin, Y C; Ye, X Q; Li, K; Shu, Y Q; Ding, L M; Tan, F L; Sun, Y

2017-10-01

Icotinib has been previously shown to be non-inferior to gefitinib in non-selected advanced non-small-cell lung cancer patients when given as second- or further-line treatment. In this open-label, randomized, phase 3 CONVINCE trial, we assessed the efficacy and safety of first-line icotinib versus cisplatin/pemetrexed plus pemetrexed maintenance in lung adenocarcinoma patients with epidermal growth factor receptor (EGFR) mutation. Eligible participants were adults with stage IIIB/IV lung adenocarcinoma and exon 19/21 EGFR mutations. Participants were randomly allocated (1 : 1) to receive oral icotinib or 3-week cycle of cisplatin plus pemetrexed for up to four cycles; non-progressive patients after four cycles were maintained with pemetrexed until disease progression or intolerable toxicity. The primary end point was progression-free survival (PFS) assessed by independent response evaluation committee. Other end points included overall survival (OS) and safety. Between January 2013 and August 2014, 296 patients were randomized, and 285 patients were treated (148 to icotinib, 137 to chemotherapy). Independent response evaluation committee-assessed PFS was significantly longer in the icotinib group (11.2 versus 7.9 months; hazard ratio, 0.61, 95% confidence interval 0.43-0.87; P = 0.006). No significant difference for OS was observed between treatments in the overall population or in EGFR-mutated subgroups (exon 19 Del/21 L858R). The most common grade 3 or 4 adverse events (AEs) in the icotinib group were rash (14.8%) and diarrhea (7.4%), compared with nausea (45.9%), vomiting (29.2%), and neutropenia (10.9%) in the chemotherapy group. AEs (79.1% versus 94.2%; P < 0.001) and treatment-related AEs (54.1% versus 90.5%; P < 0.001) were significantly fewer in the icotinib group than in the chemotherapy group. First-line icotinib significantly improves PFS of advanced lung adenocarcinoma patients with EGFR mutation with a tolerable and manageable safety profile. Icotinib should be considered as a first-line treatment for this patient population. © The Author 2017. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Heart Rate Variability for Evaluating Vigilant Attention in Partial Chronic Sleep Restriction

PubMed Central

Henelius, Andreas; Sallinen, Mikael; Huotilainen, Minna; Müller, Kiti; Virkkala, Jussi; Puolamäki, Kai

2014-01-01

Study Objectives: Examine the use of spectral heart rate variability (HRV) metrics in measuring sleepiness under chronic partial sleep restriction, and identify underlying relationships between HRV, Karolinska Sleepiness Scale ratings (KSS), and performance on the Psychomotor Vigilance Task (PVT). Design: Controlled laboratory study. Setting: Experimental laboratory of the Brain Work Research Centre of the Finnish Institute of Occupational Health, Helsinki, Finland. Participants: Twenty-three healthy young males (mean age ± SD = 23.77 ± 2.29). Interventions: A sleep restriction group (N = 15) was subjected to chronic partial sleep restriction with 4 h sleep for 5 nights. A control group (N = 8) had 8 h sleep on all nights. Measurements and Results: Based on a search over all HRV frequency bands in the range [0.00, 0.40] Hz, the band [0.01, 0.08] Hz showed the highest correlation for HRV–PVT (0.60, 95% confidence interval [0.49, 0.69]) and HRV–KSS (0.33, 95% confidence interval [0.16, 0.46]) for the sleep restriction group; no correlation was found for the control group. We studied the fraction of variance in PVT explained by HRV and a 3-component alertness model, containing circadian and homeostatic processes coupled with sleep inertia, respectively. HRV alone explained 33% of PVT variance. Conclusions: The findings suggest that HRV spectral power reflects vigilant attention in subjects exposed to partial chronic sleep restriction. Citation: Henelius A, Sallinen M, Huotilainen M, Müller K, Virkkala J, Puolamäki K. Heart rate variability for evaluating vigilant attention in partial chronic sleep restriction. SLEEP 2014;37(7):1257-1267. PMID:24987165

Reliability and validity of a visual analogue scale used by owners to measure chronic pain attributable to osteoarthritis in their dogs.

PubMed

Hielm-Björkman, Anna K; Kapatkin, Amy S; Rita, Hannu J

2011-05-01

To assess validity and reliability for a visual analogue scale (VAS) used by owners to measure chronic pain in their osteoarthritic dogs. 68, 61, and 34 owners who completed a questionnaire. Owners answered questionnaires at 5 time points. Criterion validity of the VAS was evaluated for all dogs in the intended-to-treat population by correlating scores for the VAS with scores for the validated Helsinki Chronic Pain Index (HCPI) and a relative quality-of-life scale. Intraclass correlation was used to assess repeatability of the pain VAS at 2 baseline evaluations. To determine sensitivity to change and face validity of the VAS, 2 blinded, randomized control groups (17 dogs receiving carprofen and 17 receiving a placebo) were analyzed over time. Significant correlations existed between the VAS score and the quality-of-life scale and HCPI scores. Intraclass coefficient (r = 0.72; 95% confidence interval, 0.57 to 0.82) for the VAS indicated good repeatability. In the carprofen and placebo groups, there was poor correlation between the 2 pain evaluation methods (VAS and HCPI items) at the baseline evaluation, but the correlation improved in the carprofen group over time. No correlation was detected for the placebo group over time. Although valid and reliable, the pain VAS was a poor tool for untrained owners because of poor face validity (ie, owners could not recognize their dogs' behavior as signs of pain). Only after owners had seen pain diminish and then return (after starting and discontinuing NSAID use) did the VAS have face validity.

Protecting human subjects in research.

PubMed

Orticio, Lily P

2009-01-01

The quest for advancing scientific knowledge through human experimentations using vulnerable groups is traced back to ancient history, when Herophilus performed vivisections on prisoners. The violation of the rights of human subjects through the 20th century led to the formulation of the Nuremberg Code in 1947 and the Declaration of Helsinki in 1964. In the United States, the most infamous was the Tuskegee public health study that resulted in the enactment of the National Research Act that authorized the creation of the National Commission for the Protection of Human Subjects in Biomedical and Behavioral Research in 1974. In spite of existing federal regulations, the system of protecting human subjects is still flawed. Transparency of conflict ofinterest, clarity, and strict adherence to institutional guidelines are critical in safeguarding the rights and safety of human subjects and the integrity of research. Education on ethics and emerging complex ethical issues, global awareness, and governmental cooperation and sanctions are important steps in addressing the inadequacies in protecting the most vulnerable populations in experimentations worldwide. Investigators must always remember that the primary safeguards of protecting human life rest in their hands.

[Argentina, Brazil and Mexico. Biomedical research and the defense of a single standard of attention in developing countries].

PubMed

Angeles-Llerenas, Angélica; Bello, María Alejandra; Dirce, Guilhem; Salinas, Mario Alberto

2004-01-01

In the Helsinki Declaration, which established the ethical principles for research with human subjects, article 5 states, "...concern about the well-being of human beings should always come before the interests of science and of society..." Research proposals should include this commitment, both in developed and developing countries. In countries like Argentina, Brazil and Mexico, much of the population experience situations of great injustice, including a lack of equal access to health care. In some cases, sectors of the pharmaceutical industry may see these deficiencies as offering opportunities for carrying out research and achieving economic profits, something which carries the risk of perpetuating and even intensifying the unjust situations and violations of human rights--these population groups already suffer from. This situation implies the need for commitment to and ethical reflection upon human rights related to health. Agreements are needed between the actors involved in health research: sources of funding, researchers, public policy makers, and the study subjects themselves, in order to protect the latter's rights, including continuity of medical treatment for research subjects, when necessary.

Molecular Mechanisms of Hormone-Refractory Prostate Cancer

DTIC Science & Technology

2005-02-01

Helsinki, Finland Bmx/Etk, a member of the Tec/ Btk family of nonrecep- signals that lead to the regulation of cell motility (reviewed in tor kinases...member of the with anti-Cas antibodies. Tec/ Btk family of tyrosine kinases (37). In addition to the SH2, In vitro immunocomplex kinase assays were...which corre- MgC12). The immunoprecipitates were equally divided and resuspendedon in 18 g1 of kinase buffer with or without 1 tM Src inhibitor SU6656

Best practice & research in anaesthesiology issue on new approaches in clinical research ethics in clinical research.

PubMed

Schwenzer, Karen J

2011-12-01

The history of ethics in clinical research parallels the history of abuse of human beings. The Nuremberg Code, Declaration of Helsinki, and the Belmont Report laid the foundations for modern research ethics. In the United States, the OHRP and the FDA provide guidelines for the ethical conduct of research. Investigators should be familiar with regulations concerning informed consent, doing research in vulnerable populations, and protection of privacy. Copyright © 2011 Elsevier Ltd. All rights reserved.

Laboratory spectroscopy of meteorite samples at UV-vis-NIR wavelengths: Analysis and discrimination by principal components analysis

NASA Astrophysics Data System (ADS)

Penttilä, Antti; Martikainen, Julia; Gritsevich, Maria; Muinonen, Karri

2018-02-01

Meteorite samples are measured with the University of Helsinki integrating-sphere UV-vis-NIR spectrometer. The resulting spectra of 30 meteorites are compared with selected spectra from the NASA Planetary Data System meteorite spectra database. The spectral measurements are transformed with the principal component analysis, and it is shown that different meteorite types can be distinguished from the transformed data. The motivation is to improve the link between asteroid spectral observations and meteorite spectral measurements.

7th Annual Symposium on Self-Monitoring of Blood Glucose (SMBG), May 8–10, 2014, Helsinki, Finland

PubMed Central

Mlinac, Anita; Hinzmann, Rolf

2014-01-01

Abstract International experts in the fields of diabetes, diabetes technology, endocrinology, mobile health, sport science, and regulatory issues gathered for the 7th Annual Symposium on Self-Monitoring of Blood Glucose (SMBG). The aim of this meeting was to facilitate new collaborations and research projects to improve the lives of people with diabetes. The 2014 meeting comprised a comprehensive scientific program, parallel interactive workshops, and two keynote lectures. PMID:25211215

Humidification and perceived indoor air quality in the office environment.

PubMed Central

Reinikainen, L M; Aunela-Tapola, L; Jaakkola, J J

1997-01-01

OBJECTIVE: To evaluate the effect of humidification on the odour, acceptability, and stuffiness of indoor air. METHODS: In a six period cross over trial at the Pasila Office Center, Helsinki, the air of two wings of the building in turn were ventilated with air of 30%-40% humidity. A third wing served as a non-humidified control area. The quality of indoor air was assessed weekly by a panel containing 18 to 23 members. The intraindividual differences in the ratings for odour, stuffiness, and acceptability between humidified and non-humidified wings were used to assess the effect of humidification. The roles of sex, current smoking, and age as potential effect modifiers were assessed by comparing the mean intraindividual differences in ratings between the groups. RESULTS: Humidified air was found to be more odorous and stuffy (paired t test P = 0.0001) and less acceptable than the non-humidified air (McNemar's test P < 0.001). The differences in odour and stuffiness between humidified and non-humidified air were greater for women and for non-smokers, and greatest differences were in the youngest age group, and least in the oldest age group. The differences were not significant. CONCLUSIONS: An untrained panel of 20 members is able to differentiate a slight malodour and stuffiness in indoor air. The results suggest that steam air humidification decreases the perceived air quality. This effect is strongest in women and young subjects. PMID:9196454

Convinced, ambivalent or annoyed: Tyrolean ski tourism stakeholders and their perceptions of climate change.

PubMed

Trawöger, Lisa

2014-02-01

Its focus on snow-dependent activities makes Alpine winter tourism especially sensitive to climate change. Stakeholder risk perceptions are a key factor in adaptation to climate change because they fundamentally drive or constrain stakeholder action. This paper examines climate change perceptions of winter tourism stakeholders in Tyrol (Austria). Using a qualitative approach, expert interviews were conducted. Four opinion categories reflecting different attitudes toward climate change issues were identified: convinced planners , annoyed deniers , ambivalent optimists , convinced wait-and-seers . Although the findings generally indicate a growing awareness of climate change, this awareness is mainly limited to perceiving the issue as a global phenomenon. Awareness of regional and branch-specific consequences of climate change that lead to a demand for action could not be identified. Current technical strategies, like snowmaking, are not primarily climate-induced. At present, coping with climate change is not a priority for risk management. The findings point out the importance of gaining and transferring knowledge of regional and branch-specific consequences of climate change in order to induce action at the destination level.

Convinced, ambivalent or annoyed: Tyrolean ski tourism stakeholders and their perceptions of climate change☆

PubMed Central

Trawöger, Lisa

2014-01-01

Its focus on snow-dependent activities makes Alpine winter tourism especially sensitive to climate change. Stakeholder risk perceptions are a key factor in adaptation to climate change because they fundamentally drive or constrain stakeholder action. This paper examines climate change perceptions of winter tourism stakeholders in Tyrol (Austria). Using a qualitative approach, expert interviews were conducted. Four opinion categories reflecting different attitudes toward climate change issues were identified: convinced planners, annoyed deniers, ambivalent optimists, convinced wait-and-seers. Although the findings generally indicate a growing awareness of climate change, this awareness is mainly limited to perceiving the issue as a global phenomenon. Awareness of regional and branch-specific consequences of climate change that lead to a demand for action could not be identified. Current technical strategies, like snowmaking, are not primarily climate-induced. At present, coping with climate change is not a priority for risk management. The findings point out the importance of gaining and transferring knowledge of regional and branch-specific consequences of climate change in order to induce action at the destination level. PMID:27064520

Longitudinal study of children with perinatal brain damage in whom early neurohabilitation was applied: Preliminary report.

PubMed

Harmony, Thalía; Barrera-Reséndiz, Jesús; Juárez-Colín, María Elena; Carrillo-Prado, Cristina; Pedraza-Aguilar, M del Consuelo; Asprón Ramírez, Aurora; Hinojosa-Rodríguez, Manuel; Fernández, Thalía; Ricardo-Garcell, Josefina

2016-01-12

The neurohabilitation treatment has been shown to be a successful method for decreasing the sequelae of perinatal brain damage (PBD) in Hungarian population. The goal of this pilot trial was to introduce this procedure by describing the results of its application in infants with PBD as demonstrated by clinical, developmental and MRI studies. As this procedure has proved to be useful, according the declaration of Helsinki, no control clinical trial was permitted. Infants younger than 2 months of corrected age (CA) with prenatal and/or perinatal risk factors for brain damage. Two groups were considered. One group was treated using the "neurohabilitation" method (n=20), and the other was not treated (n=13) because treatment was voluntarily discontinued after the initial evaluation. Evaluations were carried out prior to 2 months of CA and at 6-8 years of age. All children showed abnormal clinical and MRI characteristics in the first study. The treated group had a higher percentage (90%) of children with normal outcome than did the non-treated group (38%; OR=2.37, CI 95%=1.2-4.7; p<0.005). In this latter group, only one out of five (20%) children born at or before 34 weeks of gestational age had a normal outcome. In contrast, eight out of nine treated preterm infants had normal outcomes (8/9=89%, OR=4.45, CI 95%=0.7-26; p=0.017). This pilot trial confirms previous studies suggesting that Neurohabilitation decreases the neurological and cognitive sequelae of preterm and at-term infants with PBD. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Posterior Reversible Encephalopathy Syndrome (PRES): Restricted Diffusion does not Necessarily Mean Irreversibility.

PubMed

Wagih, Alaa; Mohsen, Laila; Rayan, Moustafa M; Hasan, Mo'men M; Al-Sherif, Ashraf H

2015-01-01

Restricted diffusion is the second most common atypical presentation of PRES. This has a very important implication, as lesions with cytotoxic edema may progress to infarction. Several studies suggested the role of DWI in the prediction of development of infarctions in these cases. Other studies, however, suggested that PRES is reversible even with cytotoxic patterns. Our aim was to evaluate whether every restricted diffusion in PRES is reversible and what factors affect this reversibility. Thirty-six patients with acute neurological symptoms suggestive of PRES were included in our study. Inclusion criteria comprised imaging features of atypical PRES where DWI images and ADC maps show restricted diffusion. Patients were imaged with 0.2-T and 1.5-T machines. FLAIR images were evaluated for the severity of the disease and a FLAIR/DWI score was used. ADC values were selectively recorded from the areas of diffusion restriction. A follow-up MRI study was carried out in all patients after 2 weeks. Patients were classified according to reversibility into: Group 1 (reversible PRES; 32 patients) and Group 2 (irreversible changes; 4 patients). The study was approved by the University's research ethics committee, which conforms to the declaration of Helsinki. The age and blood pressure did not vary significantly between both groups. The total number of regions involved and the FLAIR/DWI score did not vary significantly between both groups. Individual regions did not reveal any tendency for the development of irreversible lesions. Similarly, ADC values did not reveal any significant difference between both groups. PRES is completely reversible in the majority of patients, even with restricted diffusion. None of the variables under study could predict the reversibility of PRES lesions. It seems that this process is individual-dependent.

Patients referred to an indoor air health clinic: exposure to water-damaged buildings causes an increase of lymphocytes in bronchoalveolar lavage and a decrease of CD19 leucocytes in peripheral blood.

PubMed

Wolff, Henrik; Mussalo-Rauhamaa, Helena; Raitio, Hanna; Elg, Peter; Orpana, Arto; Piilonen, Anneli; Haahtela, Tari

2009-01-01

Respiratory and other symptoms are often associated with exposure to microbes present in water-damaged buildings. We examined 82 consecutive patients referred to the Indoor Air Clinic, Helsinki University Hospital, due to symptoms suspected of having been caused by long-term exposure to water damage in the home or workplace. Exposure to water damage was assessed by building inspections and microbial analyses as needed. Bronchoalveolar lavage, lung function measurements, skin prick tests to inhalant allergens and radiological examinations were performed in all patients. Leucocyte subsets in peripheral blood were analysed in 35 patients. Marked water damage was detected in the homes or workplaces of 47 (59%) patients; the remaining 34 patients formed the control group. The exposed group expressed more symptoms in total than the control group: fatigue, conjunctival symptoms, rhinitis with sinusitis, recurrent bronchitis and asthma were more common in the exposed group, but a significant difference was seen only for headache. In BAL (bronchoalveolar lavage) samples, lymphocytes represented 25% of the total cell population in non-smoking-exposed patients compared with 12% in control patients (p=0.004). In peripheral blood, CD19 leucocytes were significantly decreased in the exposed group (7.5% versus 12.3%; p<0.01). Confirmed exposure to water damage was associated with an increase in symptoms. Exposure to water damage caused a significant change in the cellular composition in BAL fluid (lymphocytosis) and blood (decrease of CD19 cells). The depletion of CD19 leucocytes in peripheral blood may indicate an active immune response in the lungs.

Posterior Reversible Encephalopathy Syndrome (PRES): Restricted Diffusion does not Necessarily Mean Irreversibility

PubMed Central

Wagih, Alaa; Mohsen, Laila; Rayan, Moustafa M.; Hasan, Mo’men M.; Al-Sherif, Ashraf H.

2015-01-01

Summary Background Restricted diffusion is the second most common atypical presentation of PRES. This has a very important implication, as lesions with cytotoxic edema may progress to infarction. Several studies suggested the role of DWI in the prediction of development of infarctions in these cases. Other studies, however, suggested that PRES is reversible even with cytotoxic patterns. Our aim was to evaluate whether every restricted diffusion in PRES is reversible and what factors affect this reversibility. Material/Methods Thirty-six patients with acute neurological symptoms suggestive of PRES were included in our study. Inclusion criteria comprised imaging features of atypical PRES where DWI images and ADC maps show restricted diffusion. Patients were imaged with 0.2-T and 1.5-T machines. FLAIR images were evaluated for the severity of the disease and a FLAIR/DWI score was used. ADC values were selectively recorded from the areas of diffusion restriction. A follow-up MRI study was carried out in all patients after 2 weeks. Patients were classified according to reversibility into: Group 1 (reversible PRES; 32 patients) and Group 2 (irreversible changes; 4 patients). The study was approved by the University’s research ethics committee, which conforms to the declaration of Helsinki. Results The age and blood pressure did not vary significantly between both groups. The total number of regions involved and the FLAIR/DWI score did not vary significantly between both groups. Individual regions did not reveal any tendency for the development of irreversible lesions. Similarly, ADC values did not reveal any significant difference between both groups. Conclusions PRES is completely reversible in the majority of patients, even with restricted diffusion. None of the variables under study could predict the reversibility of PRES lesions. It seems that this process is individual-dependent. PMID:25960819

Professional responsibilities of biomedical scientists in public discourse

PubMed Central

Schuklenk, U

2004-01-01

This article describes how a small but vocal group of biomedical scientists propagates the views that either HIV is not the cause of AIDS, or that it does not exist at all. When these views were rejected by mainstream science, this group took its views and arguments into the public domain, actively campaigning via newspapers, radio, and television to make its views known to the lay public. I describe some of the harmful consequences of the group's activities, and ask two distinct ethical questions: what moral obligations do scientists who hold such minority views have with regard to a scientifically untrained lay audience, and what moral obligations do mainstream newspapers and government politicians have when it comes to such views. The latter question will be asked because the "dissidents" succeeded for a number of years in convincing the South African government of the soundness of their views. The consequences of their stance affected millions of HIV infected South Africans severely. PMID:14872076

A Systematic Review of Root Canal Filling Materials for Deciduous Teeth: Is There an Alternative for Zinc Oxide-Eugenol?

PubMed Central

Barja-Fidalgo, Fernanda; Moutinho-Ribeiro, Michele; Oliveira, Maria Angelina Amorim; de Oliveira, Branca Heloísa

2011-01-01

The aim of this systematic review was to determine whether there is a root canal filling for deciduous teeth equally or more effective than zinc oxide-eugenol cement (ZOE). Six clinical trials selected for inclusion were independently reviewed by two researchers. Only two showed statistically significant different success rates between the test and the control groups. One found that an iodoform paste with calcium hydroxide (IP + Ca) performed better than ZOE, and the other found that ZOE performed similarly to IP + Ca. The other four studies compared ZOE with an iodoform paste (IP), a calcium hydroxide cement (Ca(OH)2), or IP + Ca. In these trials, the success rates in the ZOE groups were slightly lower than in the other groups. There seems to be no convincing evidence to support the superiority of any material over ZOE, and both ZOE and IP + Ca appear to be suitable as root canal fillings for deciduous teeth. PMID:21991471

Artesunate, artemether or quinine in severe Plasmodium falciparum malaria?

PubMed

Checkley, Anna M; Whitty, Christopher J M

2007-04-01

Quinine and the artemisinin-derivative drugs artesunate and artemether are effective treatments for severe falciparum malaria. Trials comparing artemether with quinine have not demonstrated convincing evidence of a mortality advantage for artemether. The South East Asian Quinine Artesunate Malaria Trial (SEAQUAMAT), a multicenter, randomized, open-label trial in 1461 adults with severe malaria in Asia compared artesunate with quinine. Mortality was 15% in the artesunate group and 22% in the quinine group, a reduction of 34.7% (95% confidence interval: 18.5-47.6%) in the artesunate group, with almost all the benefit reported in those with high parasite counts. Artesunate should constitute first-line treatment for severe malaria in Asia. These results can probably be generalized to the treatment of severe malaria in adults from all areas, especially in those with hyperparasitemia. However, it is unclear whether these results can be generalized to children in Africa, who constitute the majority of those who die from severe malaria worldwide.

Noticing numeracy now! Examining changes in preservice teachers' noticing, knowledge, and attitudes

NASA Astrophysics Data System (ADS)

Fisher, Molly H.; Thomas, Jonathan; Schack, Edna O.; Jong, Cindy; Tassell, Janet

2018-06-01

This study examined the impact of an intervention, focused on professional noticing of children's conceptual development in whole number and arithmetic reasoning, on preservice elementary teachers' (PSETs') professional noticing skills, attitudes toward mathematics, and mathematical knowledge for teaching mathematics. A video-based professional noticing module, situated in the pedagogies of practice framework, was used with 224 PSETs from five universities. Comparison data was also collected with similar groups not participating in the instructional module. Through pre- and post-assessments, findings indicated that PSETs can develop sound professional noticing skills as a result of participation in a video-based module. The impact on attitudes toward mathematics was less convincing as significant changes were revealed in intervention as well as comparison groups. We hypothesized the potential for professional noticing of children's mathematical thinking to serve as a mechanism for increasing the capabilities of PSETs to negotiate the complexities of mathematics teaching and learning; however, mathematics knowledge for teaching showed no significant increase for either group.

Changes in occupational class differences in leisure-time physical activity: a follow-up study.

PubMed

Seiluri, Tina; Lahti, Jouni; Rahkonen, Ossi; Lahelma, Eero; Lallukka, Tea

2011-03-01

Physical activity is known to have health benefits across population groups. However, less is known about changes over time in socioeconomic differences in leisure-time physical activity and the reasons for the changes. We hypothesised that class differences in leisure-time physical activity would widen over time due to declining physical activity among the lower occupational classes. We examined whether occupational class differences in leisure-time physical activity change over time in a cohort of Finnish middle-aged women and men. We also examined whether a set of selected covariates could account for the observed changes. The data were derived from the Helsinki Health Study cohort mail surveys; the respondents were 40-60-year-old employees of the City of Helsinki at baseline in 2000-2002 (n = 8960, response rate 67%). Follow-up questionnaires were sent to the baseline respondents in 2007 (n = 7332, response rate 83%). The outcome measure was leisure-time physical activity, including commuting, converted to metabolic equivalent tasks (MET). Socioeconomic position was measured by occupational class (professionals, semi-professionals, routine non-manual employees and manual workers). The covariates included baseline age, marital status, limiting long-lasting illness, common mental disorders, job strain, physical and mental health functioning, smoking, body mass index, and employment status at follow-up. Firstly the analyses focused on changes over time in age adjusted prevalence of leisure-time physical activity. Secondly, logistic regression analysis was used to adjust for covariates of changes in occupational class differences in leisure-time physical activity. At baseline there were no occupational class differences in leisure-time physical activity. Over the follow-up leisure-time physical activity increased among those in the higher classes and decreased among manual workers, suggesting the emergence of occupational class differences at follow-up. Women in routine non-manual and manual classes and men in the manual class tended to be more often physically inactive in their leisure-time (<14 MET hours/week) and to be less often active (>30 MET hours/week) than those in the top two classes. Adjustment for the covariates did not substantially affect the observed occupational class differences in leisure-time physical activity at follow-up. Occupational class differences in leisure-time physical activity emerged over the follow-up period among both women and men. Leisure-time physical activity needs to be promoted among ageing employees, especially among manual workers.

[Plant signaling peptides. Cysteine-rich peptides].

PubMed

Ostrowski, Maciej; Kowalczyk, Stanisław

2015-01-01

Recent bioinformatic and genetic analyses of several model plant genomes have revealed the existence of a highly abundant group of signaling peptides that are defined as cysteine-rich peptides (CRPs). CRPs are usually in size between 50 and 90 amino acid residues, they are positively charged, and they contain 4-16 cysteine residues that are important for the correct conformational folding. Despite the structural differences among CRP classes, members from each class have striking similarities in their molecular properties and function. The present review presents the recent progress in research on signaling peptides from several families including: EPF/EPFL, SP11/SCR, PrsS, RALF, LURE, and some other peptides belonging to CRP group. There is convincing evidence indicating multiple roles for these CRPs as signaling molecules during the plant life cycle, ranging from stomata development and patterning, self-incompatibility, pollen tube growth and guidance, reproductive processes, and nodule formation.

Clout, activists and budget: The road to presidency.

PubMed

Böttcher, Lucas; Herrmann, Hans J; Gersbach, Hans

2018-01-01

Political campaigns involve, in the simplest case, two competing campaign groups which try to obtain a majority of votes. We propose a novel mathematical framework to study political campaign dynamics on social networks whose constituents are either political activists or persuadable individuals. Activists are convinced and do not change their opinion and they are able to move around in the social network to motivate persuadable individuals to vote according to their opinion. We describe the influence of the complex interplay between the number of activists, political clout, budgets, and campaign costs on the campaign result. We also identify situations where the choice of one campaign group to send a certain number of activists already pre-determines their victory. Moreover, we show that a candidate's advantage in terms of political clout can overcome a substantial budget disadvantage or a lower number of activists, as illustrated by the US presidential election 2016.

Clout, activists and budget: The road to presidency

PubMed Central

Herrmann, Hans J.; Gersbach, Hans

2018-01-01

Political campaigns involve, in the simplest case, two competing campaign groups which try to obtain a majority of votes. We propose a novel mathematical framework to study political campaign dynamics on social networks whose constituents are either political activists or persuadable individuals. Activists are convinced and do not change their opinion and they are able to move around in the social network to motivate persuadable individuals to vote according to their opinion. We describe the influence of the complex interplay between the number of activists, political clout, budgets, and campaign costs on the campaign result. We also identify situations where the choice of one campaign group to send a certain number of activists already pre-determines their victory. Moreover, we show that a candidate’s advantage in terms of political clout can overcome a substantial budget disadvantage or a lower number of activists, as illustrated by the US presidential election 2016. PMID:29494627

Early life determinants of frailty in old age: the Helsinki Birth Cohort Study.

PubMed

Haapanen, M J; Perälä, M M; Salonen, M K; Kajantie, E; Simonen, M; Pohjolainen, P; Eriksson, J G; von Bonsdorff, M B

2018-04-12

there is evidence suggesting that several chronic diseases have their origins in utero and that development taking place during sensitive periods may affect the aging process. We investigated whether early life determinants would be associated with frailty in old age. at a mean age of 71 years, 1,078 participants belonging to the Helsinki Birth Cohort Study were assessed for frailty according to the Fried frailty criteria. Early life measurements (birth weight, length, mother body mass index [BMI] and parity) were obtained from birth, child welfare and school health records. Multinomial regression analysis was used to assess the association between early life determinants and frailty in old age. weight, length and BMI at birth were all inversely associated with frailty in old age. A 1 kg increase in birth weight was associated with a lower relative risk ratio (RRR) of frailty (age and sex-adjusted RRR = 0.40, 95% CI: 0.19, 0.82) compared to non-frailty. Associations persisted after adjusting for several confounding factors. Compared to cohort members in the upper middle class, those who as adults worked as manual workers or belonged to the lower middle class, were at an increased risk of frailty. those who were small at birth were at an increased risk of developing frailty in old age, suggesting that frailty is at least partly programmed in early life. A less privileged socioeconomic status in adulthood was associated with an increased risk of frailty in old age.

Quality improvement project in cervical cancer screening: practical measures for monitoring laboratory performance.

PubMed

Tarkkanen, Jussi; Geagea, Antoine; Nieminen, Pekka; Anttila, Ahti

2003-01-01

We conducted a quality improvement project in a cervical cancer screening programme in Helsinki in order to see if detection of precancerous lesions could be influenced by external (participation rate) and internal (laboratory praxis) quality measures. In order to increase the participation rate, a second personal invitation to Pap-test was mailed to nonparticipants of the first call. In order to improve the quality of screening, the cytotechnicians monitored their performance longitudinally by recording the number of slides reviewed per day, the pick-up rate of abnormal smears, the report of the consulting cytopathologist, and the number of histologically verified lesions detected from the cases that they had screened. Regular sessions were held to compare the histological findings with the cytological findings of all cases referred for colposcopy. No pressure was applied on the cytotechnicians to ensure that they felt comfortable with their daily workload. A total of 110 000 smears were screened for cervical cancer at the Helsinki City Hospital during 1996-99. Initially, the overall participation rate increased from 62% to 71%. The number of histologically confirmed precancerous lesions (CIN 1-3) more than doubled and their detection rate increased from 0.32% to 0.72%. Continuous education and feedback from daily work performance were important, yet rather inexpensive means in increasing laboratory performance. Additional measures are needed to further increase the participation rate. Impact of the quality measures on cancer incidence needs to be assessed later on.

Does diurnal temperature range influence seasonal suicide mortality? Assessment of daily data of the Helsinki metropolitan area from 1973 to 2010

NASA Astrophysics Data System (ADS)

Holopainen, Jari; Helama, Samuli; Partonen, Timo

2014-08-01

Several studies show a peak in suicide rates during springtime and suggest differences in the seasonal variation of suicides. However, the seasonal distribution of the temperature impact on suicide is less clear. This study investigated the relationship between diurnal temperature range (DTR) on suicide mortality. Daily temperature and suicide data for Helsinki were analyzed for the period of 1973-2010 inclusive. Overall, DTR reached its maximum during the spring from mid-April to mid-June, which is also the season with highest suicide mortality in the study region. Specifically, the seasonal timing and maxima for both DTR and suicides vary from year to year. Time series analysis of DTR and suicide records revealed a significant ( P < 0.01) correlation between the springtime DTR maxima and suicide rates for males. No similar association could be found for females. These results provide evidence that a higher springtime DTR could be linked statistically to a higher seasonal suicide rate each spring, whereas the exact timing of the DTR peak did not associate with the seasonal suicide rate. A possible mechanism behind the springtime association between the DTR and suicides originates from brown adipose tissue (BAT) over-activity. Activation of BAT through the winter improves cold tolerance at the cost of heat tolerance. This might trigger anxiety and psychomotor agitation, affecting mood in a negative way. As a hypothesis, the compromised heat tolerance is suggested to increase the risk of death from suicide.

Definition of frailty in older men according to questionnaire data (RAND-36/SF-36): The Helsinki Businessmen Study.

PubMed

Sirola, J; Pitkala, K H; Tilvis, R S; Miettinen, T A; Strandberg, T E

2011-11-01

To explore the association of frailty according to questionnaire data (modified Fried criteria) with important endpoints in older men. Prospective cohort study (the Helsinki Businessmen Study) in Finland. In 1974, clinically healthy men (born 1919-1934, n=1815) of similar socioeconomic status were identified. After a 26-year follow-up in 2000 (mean age 73 years), disease prevalence, mobility-disability, and frailty status (80.9% of survivors, n=1125) were appraised using a postal questionnaire including RAND-36. Four criteria were used for definition: 1) >5% weight loss from midlife, or body mass index (BMI) <21 kg/m2; 2) reported physical inactivity; 3) low vitality (RAND-36); 4) physical weakness (RAND-36). Responders with 3-4, 1-2, and zero criteria were classified as frail (n=108), prefrail (n=567), and nonfrail (n=450), respectively. Eight-year mortality was assessed from registers, and in 2007, survivors were re-assessed with questionnaires. Nonfrail as referent and adjusted for age, BMI and smoking, both prefrail (HR 2.26; 95% CI, 1.57-3.26), and frail status (4.09; 95% CI, 2.60-6.44) were significant predictors of mortality. Nonfrailty predicted better survival independently of the frailty components, diseases, and disability, and also predicted faster walking speed and less disability 7 years later. Frailty, and also prefrailty, as defined using questionnaire data (RAND-36) independently predicted important endpoints in older men.

Evaluation of modelled methane emissions over northern peatland sites

NASA Astrophysics Data System (ADS)

Gao, Yao; Burke, Eleanor; Chadburn, Sarah; Raivonen, Maarit; Susiluoto, Jouni; Vesala, Timo; Aurela, Mika; Lohila, Annalea; Aalto, Tuula

2017-04-01

Methane (CH4) is a powerful greenhouse gas, with approximately 34 times the global warming potential of carbon dioxide (CO2) over a century time horizon (IPCC, 2013). The strong sensitivity of methane emissions to environmental factors has led to concerns about potential positive feedbacks to climate change. Evaluation of the ability of the process-based land surface models of earth system models (ESMs) in simulating CH4 emission over peatland is needed for more precise future predictions. In this study, two peatland sites of poor and rich soil nutrient conditions, in southern and northern Finland respectively, are adopted. The measured CH4 fluxes at the two sites are used to evaluate the CH4 emissions simulated by the land surface model (JULES) of the UK Earth System model and by the Helsinki peatland methane emission model (HIMMELI), which is developed at Finnish Meteorological Institute and Helsinki University. In JULES, CH4 flux is simply related to soil temperature, wetland fraction and effective substrate availability. However, HIMMELI has detailed descriptions of microbial and transport processes for simulating CH4 flux. The seasonal dynamics of CH4 fluxes at the two sites are relatively well captured by both models, but model biases exist. Simulated CH4 flux is sensitive to water table depth (WTD) at both models. However, the simulated WTD is limited to be below ground in JULES. It is also important to have the annual cycle of LAI correct when coupling JULES with HIMMELI.

A healthy Nordic diet and physical performance in old age: findings from the longitudinal Helsinki Birth Cohort Study.

PubMed

Perälä, Mia-Maria; von Bonsdorff, Mikaela; Männistö, Satu; Salonen, Minna K; Simonen, Mika; Kanerva, Noora; Pohjolainen, Pertti; Kajantie, Eero; Rantanen, Taina; Eriksson, Johan G

2016-03-14

Epidemiological studies have shown that a number of nutrients are associated with better physical performance. However, little is still known about the role of the whole diet, particularly a healthy Nordic diet, in relation to physical performance. Therefore, we examined whether a healthy Nordic diet was associated with measures of physical performance 10 years later. We studied 1072 participants from the Helsinki Birth Cohort Study. Participants' diet was assessed using a validated 128-item FFQ at the mean age of 61 years, and a priori-defined Nordic diet score (NDS) was calculated. The score included Nordic fruits and berries, vegetables, cereals, PUFA:SFA and trans-fatty acids ratio, low-fat milk, fish, red and processed meat, total fat and alcohol. At the mean age of 71 years, participants' physical performance was measured using the Senior Fitness Test (SFT), and an overall SFT score was calculated. Women in the highest fourth of the NDS had on average 5 points higher SFT score compared with those in the lowest fourth (P for trend 0·005). No such association was observed in men. Women with the highest score had 17% better result in the 6-min walk test, 16% better arm curl and 20% better chair stand results compared with those with the lowest score (all P values<0·01). In conclusion, a healthy Nordic diet was associated with better overall physical performance among women and might help decrease the risk of disability in old age.

Association of midlife value priorities with health-related quality of life, frailty and mortality among older men: a 26-year follow-up of the Helsinki Businessmen Study (HBS).

PubMed

Urtamo, Annele; Kautiainen, Hannu; Pitkälä, Kaisu H; Strandberg, Timo E

2018-05-01

Personal values influence behavior and decision making, but their long-term associations with health-related quality of life (HRQoL), frailty, and mortality are less clear. We studied these associations from midlife to old age in a 26-year follow-up of the Helsinki Businessmen Study (HBS) cohort. In 1974, 1320 clinically healthy men (born 1919-1934) reported in a 12-item questionnaire their personal values. In 2000, a mailed questionnaire, including assessment of HRQoL with RAND-36 (SF-36) instrument, was sent to survivors, and 1025 men responded. In 2000, the presence of phenotypic frailty was assessed using modified Fried criteria including indicators of shrinking, physical weakness, exhaustion, and physical inactivity. Mortality through December 31, 2000 was verified from national registries. Using a factor analysis, the data of the 12-item questionnaire of personal values were loaded in 3 factors: valuing health ("Health"), enjoyable and varying life ("Enjoyment"), and comfort and work-oriented life ("Work-life-balance"). Adjusted for age, we found a significant positive association between valuing "Health" in midlife and RAND-36 domains of Physical functioning (p = .032) and Vitality (p = .005) in old age. "Health" also predicted less frailty (p = .008), and "Enjoyment" was associated with higher mortality (p = .017). Value priorities of men assessed in midlife had long-term associations with HRQoL and frailty in old age, and they may also predict mortality.

Mental health functioning (SF-36) and intentions to retire early among ageing municipal employees: the Helsinki Health Study.

PubMed

Harkonmäki, Karoliina; Lahelma, Eero; Martikainen, Pekka; Rahkonen, Ossi; Silventoinen, Karri

2006-01-01

To examine the associations of mental health functioning with intentions to retire early among ageing municipal employees. Cross-sectional survey data (n = 7,765) from the Helsinki Health Study in 2000, 2001, and 2002 were used. Intentions to retire early were sought with a question: "Have you considered retiring before normal retirement age?" The dependent variable was divided into three categories: 1 = no intentions to retire early; 2 = weak intentions; 3 = strong intentions. Mental health functioning was measured by the Short Form 36 (SF-36) mental component summary (MCS). Other variables included age, sex, physical health functioning (SF-36), limiting longstanding illness, socioeconomic status, and spouse's employment status. Multinomial regression analysis was used to examine the association of mental health functioning with intentions to retire early. Employees with the poorest mental health functioning were much more likely to report strong intentions to retire early (OR 6.09, 95% CI 4.97-7.47) than those with the best mental health functioning. Adjustments for physical health, socioeconomic status, and spouse's employment status did not substantially affect this association. The findings highlight the importance of mental health for intentions to retire early. Strategies aimed at keeping people at work for longer should emphasize the importance of mental well-being and the prevention of poor mental health. More evidence is needed on why mental problems among ageing baby-boomer employees are giving rise to increasing social consequences, although the overall prevalence of mental problems has not increased.

Evolving practice patterns and attitudes toward hormone therapy of obstetrician-gynecologists.

PubMed

Power, Michael L; Schulkin, Jay; Rossouw, Jacques E

2007-01-01

The objective of this study was to examine the opinions and prescribing practices of obstetrician-gynecologists regarding hormone therapy (HT) and the results from the Women's Health Initiative. Surveys were sent to 2,500 randomly selected American College of Obstetrics and Gynecology fellows during December 2004 to March 2005; their responses are compared with those from a survey conducted in November to December 2003. Respondents remained skeptical of the combined HT results (49.1% did not find the results convincing). Compared with the 2003 survey, men were more skeptical (58.8% did not consider the findings convincing in 2004 vs 53.4% in 2003, P = 0.045), and women were somewhat less skeptical (39.5% did not consider the findings convincing in 2004 vs 45.3% in 2003, P = 0.056). There was less skepticism about the estrogen-only trial, although 4 of 10 did not find the results convincing. Men were more skeptical than women; a majority of men disagreed with the decisions to stop the trials. Physicians who completed their residency more recently were more likely to accept the trial results. Respondents reported a reduction in HT prescription practice relative to the year 2000, but 62.7% reported they did not expect their prescribing practices to change further in the near future. The proportion of respondents who considered alternative therapies to HT as viable treatment options increased between 2003 and 2004 (37.1% vs 28.1%, P < 0.001). There was strong support for the use of HT for vasomotor symptoms, vaginal dryness, and osteoporosis, but most physicians did not consider HT useful for cardiovascular disease or dementia. Many obstetrician-gynecologists continue to express skepticism about the results and conduct of the Women's Health Initiative trials. The survey could not determine the reasons for skepticism.

[Coffee, its legend, history, and influence on human health].

PubMed

Tesfaye, H; Blahos, J; Janatová, J

2009-01-01

In the introductory part of this article the history/legend of coffee as well as its spread to different parts of the world including Europe is discussed. Data sofar available in literature do not give any convincing evidence regarding clear relationship between coffee and the etiopathogenesis of several diseases including diabetes mellitus type 2, cardiovascular diseases, gout, osteoporosis, neurologic disorders and colorectal cancer. Favorable (protective) effects of coffee consumption against hepatocellular cancer have been repeatedly described. The autors discuss on todate findings about relationship between blood cholesterol and uric acid in literature and remind their own experience with different population groups in Harar, Ethiopia, where consumption of coffee is habitual in daily life of the inhabitants.

Ciênsação: gaining a feeling for sciences

NASA Astrophysics Data System (ADS)

Abreu de Oliveira, Marcos Henrique; Fischer, Robert

2017-03-01

Ciênsação, an open online repository for hands-on experiments, has been developed to convince teachers in Latin America that science is best experienced first hand. Permitting students to experiment autonomously in small groups can be a challenging endeavour for educators in these countries. We analyse the reasons that cause hesitation of teachers appling hands-on experiments in class, and discuss how Ciênsação was implemented to overcome these obstacles. The resulting student research activities are specifically designed to be easily integrated in formal science education at school, to foster research skills and, most importantly, to let young people get to know science as an engaging creative activity.

The conversion to electronic hospital notes at Mayo Clinic. Overcoming barriers and challenges.

PubMed

Andreen, Debra L; Dobie, Linda J; Jasperson, Jan C; Lucas, Thomas A; Wubbenhorst, Cathryn L

2010-01-01

This article describes the conversion to electronic hospital notes at a large, multi-specialty group practice: Mayo Clinic in Rochester, Minnesota. Because of the size of the institution and the barriers to the adoption of electronic notes, the process was a gradual one that took several years. Making a convincing case for change to institutional leaders and maintaining their support was crucial to success. Equally vital was the careful investigation of user requirements and the development of software features that allowed providers to complete their notes quickly in the fast-paced hospital environment. Care providers discovered the value of having immediate access to legible hospital notes throughout the campus and from remote locations.

Monte Carlo Study of Four-Dimensional Self-avoiding Walks of up to One Billion Steps

NASA Astrophysics Data System (ADS)

Clisby, Nathan

2018-04-01

We study self-avoiding walks on the four-dimensional hypercubic lattice via Monte Carlo simulations of walks with up to one billion steps. We study the expected logarithmic corrections to scaling, and find convincing evidence in support the scaling form predicted by the renormalization group, with an estimate for the power of the logarithmic factor of 0.2516(14), which is consistent with the predicted value of 1/4. We also characterize the behaviour of the pivot algorithm for sampling four dimensional self-avoiding walks, and conjecture that the probability of a pivot move being successful for an N-step walk is O([ log N ]^{-1/4}).

First Calderón Prize

NASA Astrophysics Data System (ADS)

Rundell, William; Somersalo, Erkki

2008-07-01

The Inverse Problems International Association (IPIA) awarded the first Calderón Prize to Matti Lassas for his outstanding contributions to the field of inverse problems, especially in geometric inverse problems. The Calderón Prize is given to a researcher under the age of 40 who has made distinguished contributions to the field of inverse problems broadly defined. The first Calderón Prize Committee consisted of Professors Adrian Nachman, Lassi Päivärinta, William Rundell (chair), and Michael Vogelius. William Rundell For the Calderón Prize Committee Prize ceremony The ceremony awarding the Calderón Prize. Matti Lassas is on the left. He and William Rundell are on the right. Photos by P Stefanov. Brief Biography of Matti Lassas Matti Lassas was born in 1969 in Helsinki, Finland, and studied at the University of Helsinki. He finished his Master's studies in 1992 in three years and earned his PhD in 1996. His PhD thesis, written under the supervision of Professor Erkki Somersalo was entitled `Non-selfadjoint inverse spectral problems and their applications to random bodies'. Already in his thesis, Matti demonstrated a remarkable command of different fields of mathematics, bringing together the spectral theory of operators, geometry of Riemannian surfaces, Maxwell's equations and stochastic analysis. He has continued to develop all of these branches in the framework of inverse problems, the most remarkable results perhaps being in the field of differential geometry and inverse problems. Matti has always been a very generous researcher, sharing his ideas with his numerous collaborators. He has authored over sixty scientific articles, among which a monograph on inverse boundary spectral problems with Alexander Kachalov and Yaroslav Kurylev and over forty articles in peer reviewed journals of the highest standards. To get an idea of the wide range of Matti's interests, it is enough to say that he also has three US patents on medical imaging applications. Matti is currently professor of mathematics at Helsinki University of Technology, where he has created his own line of research with young talented researchers around him. He is a central person in the Centre of Excellence in Inverse Problems Research of the Academy of Finland. Previously, Matti Lassas has won several awards in his home country, including the prestigious Vaisala price of the Finnish Academy of Science and Letters in 2004. He is a highly esteemed colleague, teacher and friend, and the Great Diving Beetle of the Finnish Inverse Problems Society (http://venda.uku.fi/research/FIPS/), an honorary title for a person who has no fear of the deep. Erkki Somersalo

Multilingual education of students on a global scale and perspective-international networking on the example of bioindication and biomonitoring (B&B technologies).

PubMed

Markert, Bernd; Baltrėnaitė, Edita; Chudzińska, Ewa; De Marco, Silvia; Diatta, Jean; Ghaffari, Zahra; Gorelova, Svetlana; Marcovecchio, Jorge; Tabors, Guntis; Wang, Meie; Yousef, Naglaa; Fraenzle, Stefan; Wuenschmann, Simone

2014-04-01

Living or formerly living organisms are being used to obtain information on the quality of the general health status of our environment by bioindication and biomonitoring methods for many decades. Thus, different roads toward this common scientific goal were developed by a lot of different international research groups. Global cooperation in between various scientific teams throughout the world has produced common ideas, scientific definitions, and highly innovative results of this extremely attractive working field. The transdisciplinary approach of different and multifaceted scientific areas-starting from biology, analytical chemistry, via health physics, up to social and economic issues-have surpassed mental barriers of individual scientists, so that "production" of straightforward common results related to the influence of material and immaterial environmental factors to the well-being of organisms and human life has now reached the forefront of international thinking. For the further sustainable development of our common scientific "hobby" of bioindication and biomonitoring, highest personal energy has to be given by us, being teachers to our students and to convince strategically decision makers as politicians to invest (financially) into the development of education and research of this innovative technique. Young people have to be intensively convinced on the "meaning" of our scientific doing, e.g., by extended forms of education. One example of multilingual education of students on a global scale and perspective is given here, which we started about 3 years ago.

Effect of Trelagliptin on Quality of Life in Patients with Type 2 Diabetes Mellitus: Study Protocol.

PubMed

Ishii, Hitoshi; Suzaki, Yuki; Miyata, Yuko

2017-12-01

Long-term glycemic control in type 2 diabetes is critical to prevent or delay the onset of macrovascular and microvascular complications. Medication adherence is an integral component of type 2 diabetes management. Minimizing the dosing frequency of antidiabetic drugs may reduce treatment burden for patients and improve medication adherence. This study has been proposed to assess the reduction in treatment burden during 12 weeks' administration of trelagliptin, a weekly dosing dipeptidyl peptidase-4 (DPP-4) inhibitor, compared with a daily dosing DPP-4 inhibitor in patients with type 2 diabetes. This is a multicenter, randomized, open-label, parallel-group, comparative study to be conducted at approximately 15 sites across Japan. A total of 240 patients are to be randomized 1:1 to receive trelagliptin or a daily DPP-4 inhibitor for 12 weeks. Efficacy and safety will be compared between the two groups. The primary endpoint is the change in total score for all items of the diabetes-therapy-related QOL questionnaire from treatment start to treatment end. The study will be conducted with the highest respect for the individual participants in accordance with the protocol, the Declaration of Helsinki, the Ethical Guidelines for Clinical Research, the ICH Consolidated Guideline for Good Clinical Practice, and applicable local laws and regulations. Takeda Pharmaceutical Company Limited. Japic CTI-173482.

Intelligence as a predictor of outcome in short- and long-term psychotherapy.

PubMed

Knekt, Paul; Saari, Taru; Lindfors, Olavi

2014-12-30

Intelligence has been suggested as a suitability factor for short-term therapy whereas its possible effect on short-term versus long-term therapy still is unknown. The aim of this study was to compare the prediction of intelligence on the level of psychiatric symptoms and psychosocial functioning in psychotherapies of different lengths. A total of 251 outpatients from the Helsinki Psychotherapy Study, aged 20–46 years, and suffering from mood or anxiety disorders were allocated to two long-term and two short-term therapies. Intelligence was assessed at baseline with the Wechsler Adult Intelligence Scale (WAIS-R). Psychiatric symptoms and psychosocial functioning were assessed 5–10 times during a 5-year follow-up using two primary symptom measures (HDRS and HARS) and one primary measure of psychosocial functioning (GAF). Short-term therapy was more effective than long-term therapy during the first year of follow-up. During the second to fourth follow-up year no differences between short- and long-term therapies or the intelligence groups were found. At the fifth follow-up year, however, long-term psychotherapy showed a statistically significantly larger change in all three primary measures compared to short-term therapy among those with higher intelligence. No differences between therapy groups were noted in those with lower intelligence. People with higher intelligence may benefit more from long-term than from short-term psychotherapy. These findings should be confirmed.

Navigator® and SmartPilot® View are helpful in guiding anesthesia and reducing anesthetic drug dosing.

PubMed

Cirillo, V; Zito Marinosci, G; De Robertis, E; Iacono, C; Romano, G M; Desantis, O; Piazza, O; Servillo, G; Tufano, R

2015-11-01

The recently introduced Navigator® (GE Healthcare, Helsinki, Finland) and SmartPilot® View (Dräger Medical, Lübeck, Germany) show the concentrations and predicted effects of combined anesthetic drugs, and should facilitate more precisely their titration. Our aim was to evaluate if Navigator® or SmartPilot® View guided anesthesia was associated with a good quality of analgesia, depth of hypnosis and may reduce anesthetic requirements. We performed a prospective non-randomized study. Sixty ASA I-II patients undergoing balanced general anesthesia for abdominal and plastic surgery were enrolled. Patients were divided in 4 groups. Group 1 (N. 15) and group 3 (N. 15) were cases in whom anesthesia was performed with standard monitoring plus the aid of Navigator® (Nav) or SmartPilot® View (SPV) display. Group 2 (N. 15) and group 4 (N. 15) were controls in whom anesthesia was performed with standard monitoring (heart rate, NIBP, SpO2, end-tidal CO2, end-expired sevoflurane concentration, train of four, Bispectral Index [Aspect Medical Systems, Natick, MA, USA] or Entropy [GE Healthcare]). Patients' vital parameters and end-expired sevoflurane concentration were recorded during anesthesia. All patients recovered uneventfully and showed hemodynamic stability. End-tidal sevoflurane concentrations values [median (min-max)], during maintenance of anesthesia, were significantly (P<0.05) lower in SPV [1.1% (0.8-1.5)] and Nav [1%(0.8-1.8)] groups compared to SPV-control group [1.5%(1-2.5)] and Nav-control group [1.5%(0.8-2)]. BIS and entropy values were respectively higher in the SPV group [53 (46-57)] compared to the control group [43 (37-51)] (P<0.05) and Nav group [53 (43-60)] compared to the control group [41 (35-51)] (P<0.05). No significant differences in Remifentanil dosing were observed in the four groups. Navigator® and SmartPilot® View may be of clinical use in monitoring adequacy of anesthesia. Both displays can optimize the administration and monitoring of anesthetic drugs during general anesthesia and may reduce the consumption of volatile anesthetic agents.

Electroacupuncture to alleviate postoperative pain after a laparoscopic appendectomy: study protocol for a three-arm, randomised, controlled trial.

PubMed

Lee, Seunghoon; Nam, Dongwoo; Kwon, Minsoo; Park, Won Seo; Park, Sun Jin

2017-08-04

The purpose of this study is to evaluate the efficacy and safety of electroacupuncture (EA) for postoperative pain after laparoscopic appendectomy compared with sham electroacupuncture (SEA) and no acupuncture treatment. This study is a protocol for a three-arm, randomised, patient-assessor-blinded (to the type of acupuncture treatment), controlled, parallel trial. 138 participants diagnosed with appendicitis and scheduled for laparoscopic appendectomy will be randomly assigned to the EA group (n=46), SEA group (n=46) or control group (n=46). The EA group will receive acupuncture treatment at both regional and distal acupuncture points with electrostimulation. The SEA group will receive sham acupuncture treatment with mock electrostimulation. Both EA and SEA groups will receive a total of four treatments 1 hour preoperative, 1 hour postoperative and during the morning and afternoon the day after surgery with the same routine postoperative pain control. The control group will receive only routine postoperative pain control. The primary outcome is the 11-point Pain Intensity Numerical Rating Scale (PI-NRS) at 24 hours after surgery. The secondary outcomes are the PI-NRS, analgesic consumption, opioid-related side effects, time to first passing flatus, quality of life and adverse events evaluated 6, 12, 24 and 36 hours and 7 days after surgery. The study was planned in accordance with the Helsinki Declaration and the Korean Good Clinical Practice Guidelines to protect the participants and was approved by the institutional review board (IRB) of Kyung Hee University Medical Center (KMC IRB-1427-02). The results will be disseminated in peer-reviewed journals and presented at international conferences. Clinical Research Information Service (KCT0001328). © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Molecular Mechanisms of Hormone-Refractory Prostate Cancer

DTIC Science & Technology

2006-02-01

FIN-00014 Helsinki, Finland Bmx/Etk, a member of the Tec/ Btk family of nonrecep- tor kinases, has recently been shown to mediate cell motility in...Bmx, which is a member of the Tec/ Btk family of tyrosine kinases (37). In addition to the SH2, SH3, and kinase domains, the Tec family of tyrosine...divided and resuspended in 18 l of kinase buffer with or without 1 M Src inhibitor SU6656 in the presence of either 2 g of GST or 2 g of GST-CasSD

Integrating Internships with Professional Study in Pharmacy Education in Finland

PubMed Central

Löfhjelm, Ulla; Passi, Sanna; Airaksinen, Marja

2014-01-01

Pharmacy internships are an important part of undergraduate pharmacy education worldwide. Internships in Finland are integrated into professional study during the second and third year, which has several pedagogic advantages, such as better understanding of the association between academic studies and pharmaceutical work-life during the studies, and enhanced self-reflection through the feedback from preceptors and peers during the internships. The objective of this paper is to describe the Finnish integrated internship using the pharmacy curriculum at the University of Helsinki as an example. PMID:26056411

[Medical intern or locum doctor--does job position affect learning?].

PubMed

Mars, Nina; Kalske, Jaakko; Halttunen-Nieminen, Mervi; Pitkäranta, Anne

2015-01-01

At the University of Helsinki, the licentiate degree in medicine involves internships that can be conducted as a medical intern or locum doctor. The students and their supervisors fill out a feedback form, which helps in assessing the students' improvement in various areas. Based on the feedback form between 2008 and 2013, students having worked as locum doctor rated better improvement in their diagnostic skills, writing medical records, interacting with the patient, and operating in the work community. Supervisor evaluations did not show a similar clear difference between the job positions.

A Summary of Important Documents in the Field of Research Ethics

PubMed Central

Fischer, Bernard A

2006-01-01

Today's researchers are obligated to conduct their studies ethically. However, it often seems a daunting task to become familiar with the important ethical codes required to do so. The purpose of this article is to examine the content of those ethical documents most relevant to the biomedical researcher. Documents examined include the Nuremberg Code, the Declaration of Helsinki, Henry Beecher's landmark paper, the Belmont Report, the U.S. Common Rule, the Guideline for Good Clinical Practice, and the National Bioethics Advisory Commission's report on research protections for the mentally ill. PMID:16192409

To see bruxism: a functional MRI study.

PubMed

Yılmaz, S

2015-01-01

Since the pathophysiology of bruxism is not clearly understood, there exists no possible treatment. The aim of this study is to investigate the cerebral activation differences between healthy subjects and patients with bruxism on behalf of possible aetiological factors. 12 healthy subjects and 12 patients with bruxism, a total of 24 right-handed female subjects (aged 20-27 years) were examined using functional MRI during tooth-clenching and resting tasks. Imaging was performed with 3.0-T MRI scanner with a 32-channel head coil. Differences in regional brain activity between patients with bruxism and healthy subjects (control group) were observed with BrainVoyager QX 2.8 (Brain Innovation, Maastricht, Netherlands) statistical data analysis program. Activation maps were created using the general linear model: single study and multistudy multisubject for statistical group analysis. This protocol was approved by the ethics committee of medical faculty of Kirikkale University, Turkey (02/04), based on the guidelines set forth in the Declaration of Helsinki. The group analysis revealed a statistically significant increase in blood oxygenation level-dependent signal of three clusters in the control group (p<0.005), which may indicate brain regions related with somatognosis, repetitive passive motion, proprioception and tactile perception. These areas coincide with Brodmann areas 7, 31, 39 and 40. It is conceivable that there are differences between healthy subjects and patients with bruxism. Our findings indicate that there was a decrease of cortical activation pattern in patients with bruxism in clenching tasks. This indicates decreased blood flow and activation in regional neuronal activity. Bruxism, as an oral motor disorder concerns dentistry, neurology and psychiatry. These results might improve the understanding and physiological handling of sleep bruxism.

To see bruxism: a functional MRI study

PubMed Central

2015-01-01

Objective: Since the pathophysiology of bruxism is not clearly understood, there exists no possible treatment. The aim of this study is to investigate the cerebral activation differences between healthy subjects and patients with bruxism on behalf of possible aetiological factors. Methods: 12 healthy subjects and 12 patients with bruxism, a total of 24 right-handed female subjects (aged 20–27 years) were examined using functional MRI during tooth-clenching and resting tasks. Imaging was performed with 3.0-T MRI scanner with a 32-channel head coil. Differences in regional brain activity between patients with bruxism and healthy subjects (control group) were observed with BrainVoyager QX 2.8 (Brain Innovation, Maastricht, Netherlands) statistical data analysis program. Activation maps were created using the general linear model: single study and multistudy multisubject for statistical group analysis. This protocol was approved by the ethics committee of medical faculty of Kirikkale University, Turkey (02/04), based on the guidelines set forth in the Declaration of Helsinki. Results: The group analysis revealed a statistically significant increase in blood oxygenation level-dependent signal of three clusters in the control group (p < 0.005), which may indicate brain regions related with somatognosis, repetitive passive motion, proprioception and tactile perception. These areas coincide with Brodmann areas 7, 31, 39 and 40. It is conceivable that there are differences between healthy subjects and patients with bruxism. Conclusions: Our findings indicate that there was a decrease of cortical activation pattern in patients with bruxism in clenching tasks. This indicates decreased blood flow and activation in regional neuronal activity. Bruxism, as an oral motor disorder concerns dentistry, neurology and psychiatry. These results might improve the understanding and physiological handling of sleep bruxism. PMID:25806864

Global Warming’s Six Americas: An Audience Segmentation Analysis (Invited)

NASA Astrophysics Data System (ADS)

Roser-Renouf, C.; Maibach, E.; Leiserowitz, A.

2009-12-01

One of the first rules of effective communication is to “know thy audience.” People have different psychological, cultural and political reasons for acting - or not acting - to reduce greenhouse gas emissions, and climate change educators can increase their impact by taking these differences into account. In this presentation we will describe six unique audience segments within the American public that each responds to the issue in its own distinct way, and we will discuss methods of engaging each. The six audiences were identified using a nationally representative survey of American adults conducted in the fall of 2008 (N=2,164). In two waves of online data collection, the public’s climate change beliefs, attitudes, risk perceptions, values, policy preferences, conservation, and energy-efficiency behaviors were assessed. The data were subjected to latent class analysis, yielding six groups distinguishable on all the above dimensions. The Alarmed (18%) are fully convinced of the reality and seriousness of climate change and are already taking individual, consumer, and political action to address it. The Concerned (33%) - the largest of the Six Americas - are also convinced that global warming is happening and a serious problem, but have not yet engaged with the issue personally. Three other Americas - the Cautious (19%), the Disengaged (12%) and the Doubtful (11%) - represent different stages of understanding and acceptance of the problem, and none are actively involved. The final America - the Dismissive (7%) - are very sure it is not happening and are actively involved as opponents of a national effort to reduce greenhouse gas emissions. Mitigating climate change will require a diversity of messages, messengers and methods that take into account these differences within the American public. The findings from this research can serve as guideposts for educators on the optimal choices for reaching and influencing target groups with varied informational needs, values and beliefs.

Level of functioning, perceived work ability, and work status among psychiatric patients with major mental disorders.

PubMed

Karpov, B; Joffe, G; Aaltonen, K; Suvisaari, J; Baryshnikov, I; Näätänen, P; Koivisto, M; Melartin, T; Oksanen, J; Suominen, K; Heikkinen, M; Isometsä, E

2017-07-01

Major mental disorders are highly disabling conditions that result in substantial socioeconomic burden. Subjective and objective measures of functioning or ability to work, their concordance, or risk factors for them may differ between disorders. Self-reported level of functioning, perceived work ability, and current work status were evaluated among psychiatric care patients with schizophrenia or schizoaffective disorder (SSA, n=113), bipolar disorder (BD, n=99), or depressive disorder (DD, n=188) within the Helsinki University Psychiatric Consortium Study. Correlates of functional impairment, subjective work disability, and occupational status were investigated using regression analysis. DD patients reported the highest and SSA patients the lowest perceived functional impairment. Depressive symptoms in all diagnostic groups and anxiety in SSA and BD groups were significantly associated with disability. Only 5.3% of SSA patients versus 29.3% or 33.0% of BD or DD patients, respectively, were currently working. About half of all patients reported subjective work disability. Objective work status and perceived disability correlated strongly among BD and DD patients, but not among SSA patients. Work status was associated with number of hospitalizations, and perceived work disability with current depressive symptoms. Psychiatric care patients commonly end up outside the labour force. However, while among patients with mood disorders objective and subjective indicators of ability to work are largely concordant, among those with schizophrenia or schizoaffective disorder they are commonly contradictory. Among all groups, perceived functional impairment and work disability are coloured by current depressive symptoms, but objective work status reflects illness course, particularly preceding psychiatric hospitalizations. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Testing the effectivity of the mixed virtual reality training Into D'mentia for informal caregivers of people with dementia: protocol for a longitudinal, quasi-experimental study.

PubMed

Jütten, Linda Helena; Mark, Ruth Elaine; Maria Janssen, Ben Wilhelmus Jacobus; Rietsema, Jan; Dröes, Rose-Marie; Sitskoorn, Margriet Maria

2017-08-21

Informal caregivers for people with dementia (hereafter: caregivers) often feel (over)burdened by the care for a loved one with dementia, and this can have various deleterious effects on both caregivers and patients. Support for caregivers is urgently needed, and for this reason, a dementia simulator (Into D'mentia) was developed in which caregivers experience what it is like to have dementia. The simulator attempts to heighten caregivers' empathy and understanding for the patient and, in turn, diminish their own caregiver burden. The current study evaluates whether the simulator is effective on a number of outcomes. A longitudinal, quasi-experimental study is ongoing in the Netherlands. We aim to recruit 142 caregivers in total divided over two groups: 71 caregivers in the intervention group and 71 caregivers in the control group. All participants will complete interviews and questionnaires at four time points: at baseline, 1 week, 2.5 months and 15 months after the training. The primary outcomes include empathy, caregiver burden, caregiver's sense of competence, social reliance, anxiety, depression and caregivers' subjective and objective health. This study is being carried out in agreement with the Declaration of Helsinki, and the protocol has been approved by the local ethics committees. This study is registered with The Netherlands National Trial Register (NNTR5856). © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Neurocognitive abilities in young adults with very low birth weight.

PubMed

Pyhälä, R; Lahti, J; Heinonen, K; Pesonen, A-K; Strang-Karlsson, S; Hovi, P; Järvenpää, A-L; Eriksson, J G; Andersson, S; Kajantie, E; Räikkönen, K

2011-12-06

Although severely preterm birth has been associated with impaired neurocognitive abilities in children, follow-up studies in adulthood are scarce. We set out to study whether adults born with very low birth weight (VLBW) (<1,500 g), either small for gestational age (SGA) (birth weight ≤-2 SD) or appropriate for gestational age (AGA), differ in a range of neurocognitive abilities and academic performance from adults born at term and not SGA. As part of the Helsinki Study of Very Low Birth Weight Adults, 103 VLBW (37 SGA) and 105 term-born control adults (mean age 25.0, range 21.4-29.7 years) without major neurosensory impairments participated in the follow-up study in 2007-2008. The test battery included measures of general cognitive ability as well as executive functioning and related abilities. Academic performance was self-reported. With adjustment for sex and age, the VLBW group scored lower or performed slower than the control group in some indices of all tests (these mean differences ranged from 0.3 to 0.5 SD units, p ≤ 0.03) and they had received remedial education at school more frequently; however, no differences existed in self-reported academic performance. The differences were evident in both VLBW-SGA and VLBW-AGA groups. Further covariate adjustments for parental education, current head circumference, and head circumference at birth and, in tests of executive functioning and related abilities, adjustment for IQ estimate had minor effects on the results. In comparison with control adults, VLBW adults scored lower on several neurocognitive tests. Poorer neurocognitive performance is associated with VLBW irrespective of the intrauterine growth pattern.

Chocolate, well-being and health among elderly men.

PubMed

Strandberg, T E; Strandberg, A Y; Pitkälä, K; Salomaa, V V; Tilvis, R S; Miettinen, T A

2008-02-01

We hypothesized that chocolate preference would be related to health and psychological well-being in old men. We have followed up a socio-economically homogenous group of men, born in 1919-1934, since the 1960s. In 2002-2003, a mailed questionnaire was used to assess the health and well-being (including questions related to positive life orientation, visual analogue scales and the Zung depression score) of survivors. In addition, candy preference was inquired. Those men who reported no candy consumption (n=108) were excluded from the analyses. Psychological well-being in old age. The response rate was 69% (1367 of 1991). Of the respondents, 860 and 399 preferred chocolate and other type of candy, respectively. The average age in both candy groups was 76 years. Of the respondents, 99% were home-dwelling, 96% were retired and 87% were presently married, without differences between the candy groups. Men preferring chocolate had lower body mass index and waist circumference, and they also reported more exercise and better subjective health (P=0.008) than other candy consumers. Variables related to psychological well-being were consistently better in those preferring chocolate. The differences were statistically significant in feeling of loneliness (P=0.01), feeling of happiness (P=0.01), having plans for the future (P=0.0002) and the Zung depression score (P=0.02). In this socioeconomically homogenous male cohort, chocolate preference in old age was associated with better health, optimism and better psychological well-being. The Academy of Finland, the Päivikki and Sakari Sohlberg Foundation, the Helsinki University Central Hospital and the Finnish Foundation for Cardiovascular Research.

Review of national research ethics regulations and guidelines in Middle Eastern Arab countries

PubMed Central

2012-01-01

Background Research ethics guidelines are essential for conducting medical research. Recently, numerous attempts have been made to establish national clinical research documents in the countries of the Middle East. This article analyzes these documents. Methods Thirteen Arab countries in the Middle East were explored for available national codes, regulations, and guidelines concerning research ethics, and 10 documents from eight countries were found. We studied these documents, considering the ethical principles stated in the Declaration of Helsinki, the Council for International Organizations of Medical Sciences (CIOMS) guidelines, and the International Conference of Harmonization - Guidelines for Good Clinical Practice (ICH-GCP). Our paper comprises a complete list of protections, such as confidentiality, informed consent, ethics committees, and others. Results This study found different levels and kinds of research ethics regulations and guidelines in the countries examined. Two groups can be distinguished: the countries in the first group have one or more research ethics regulations or guidelines, while the countries in the second group have not yet established any. Most of the documents showed various degrees of deficiencies in regard to ethical protection. The majority of the documents that were examined refer to one or more international documents on biomedical research ethics. Conclusions Recently, a lot of efforts have been made in many countries in the Middle East. However, compared with international documents, most of the research ethics documents in use in this region demonstrate numerous deficiencies. As it relates to these documents, extensive differences could be observed in regard to development, structure, content, and reference to international guidelines. PMID:23234422

We only talk about breast feeding: a discourse analysis of infant feeding messages in antenatal group-based education.

PubMed

Jennifer, Fenwick; Elaine, Burns; Athena, Sheehan; Virginia, Schmied

2013-05-01

the aim of the study was to examine the dominant discourses that midwives draw on to present information on breast feeding in group-based antenatal education sessions. breast-feeding initiation rates are high among Australian women however, duration rates are low. Antenatal breast-feeding education is considered a key strategy in promoting breast feeding to childbearing women. The efficacy and effectiveness of such a strategy is equivocal and there is little qualitative work examining group-based antenatal breast-feeding education. discourse analysis was used to explore the language and practises of midwives facilitating group antenatal breast-feeding education sessions at two Australian maternity facilities. Nine sessions were observed and tape recorded over a 12 month period. Each session lasted between 60 and 140 mins. the analysis revealed four dominate discourses midwives used to promote breast feeding during group-based antenatal education session. The predominant discourses 'There is only one feeding option': breast feeding' and 'Selling the 'breast is best' reflected how midwives used their personal and professional commitment to breast feeding, within supportive and protective policy frameworks, to convince as many pregnant women as possible to commit to breast feeding. Sessions were organised to ensure women and their partners were 'armed' with as much information as possible about the value of breastmilk, successful positioning and attachment and practical strategies to deal with early breast-feeding problems. Antenatal commitment to breast feeding was deemed necessary if women were to overcome potential hurdles and maintain a commitment to the supply of breast milk. The latter two discourses, drawn upon to promote the breast-feeding message, presented infants as 'hard wired' to breast feed and male partners as 'protectors' of breast feeding. midwives clearly demonstrated a passion and enthusiasm for breast-feeding education. Examining the dominant discourses used by midwives during the antenatal sessions revealed, however, that their language and practices were often limited to convincing women to breast feed rather than engaging with them in conversations that facilitated exploration and discovery of how breast feeding might be experienced within the mother-infant relationship and broader social and cultural context. In addition, there was evidence that global breast-feeding policies, in resource rich countries such as Australia, may influence how midwives talk about breast feeding without them being fully cognisant of the potentially coercive nature of the messages women receive. Copyright © 2012 Elsevier Ltd. All rights reserved.

Infant milk feeding influences adult bone health: a prospective study from birth to 32 years.

PubMed

Pirilä, Satu; Taskinen, Mervi; Viljakainen, Heli; Kajosaari, Merja; Turanlahti, Maila; Saarinen-Pihkala, Ulla M; Mäkitie, Outi

2011-04-27

Peak bone mass, attained by early adulthood, is influenced by genetic and life-style factors. Early infant feeding and duration of breastfeeding in particular, associate with several health-related parameters in childhood. The aim of this study was to examine whether the effects of early infant feeding extend to peak bone mass and other bone health characteristics at adult age. A cohort of 158 adults (76 males) born in Helsinki, Finland, 1975, prospectively followed up from birth, underwent physical examination and bone densitometry to study bone area, bone mineral content (BMC), and bone mineral density (BMD) at 32 years of age. Life-style factors relevant for bone health were recorded. For data analysis the cohort was divided into three equal-size groups according to the total duration of breastfeeding (BF): Short (≤3 months), Intermediate and Prolonged (≥7 months) BF groups. In males short BF is associated with higher bone area, BMC, and BMD compared to longer BF. Males in the Short BF group had on average 4.7% higher whole body BMD than males in the Prolonged BF group. In multivariate analysis, after controlling for multiple confounding factors, the influence of BF duration on adult bone characteristics persisted in males. Differences between the three feeding groups were observed in lumbar spine bone area and BMC, and whole body BMD (MANCOVA; p = 0.025, p = 0.013, and p = 0.048, respectively), favoring the Short BF group. In women no differences were observed. In men, early infant milk feeding may have a significant impact on adult bone health. A potential explanation is that the calcium and phosphate contents were strikingly higher in formula milk and commercial cow milk/cow milk dilutions as opposed to human milk. Our novel finding merits further studies to determine means to ensure optimal bone mass development in infants with prolonged breastfeeding.

What causes psychosis? An umbrella review of risk and protective factors

PubMed Central

Radua, Joaquim; Ramella‐Cravaro, Valentina; Ioannidis, John P.A.; Reichenberg, Abraham; Phiphopthatsanee, Nacharin; Amir, Taha; Yenn Thoo, Hyi; Oliver, Dominic; Davies, Cathy; Morgan, Craig; McGuire, Philip; Murray, Robin M.; Fusar‐Poli, Paolo

2018-01-01

Psychosis is a heterogeneous psychiatric condition for which a multitude of risk and protective factors have been suggested. This umbrella review aimed to classify the strength of evidence for the associations between each factor and psychotic disorders whilst controlling for several biases. The Web of Knowledge database was searched to identify systematic reviews and meta‐analyses of observational studies which examined associations between socio‐demographic, parental, perinatal, later factors or antecedents and psychotic disorders, and which included a comparison group of healthy controls, published from 1965 to January 31, 2017. The literature search and data extraction followed PRISMA and MOOSE guidelines. The association between each factor and ICD or DSM diagnoses of non‐organic psychotic disorders was graded into convincing, highly suggestive, suggestive, weak, or non‐significant according to a standardized classification based on: number of psychotic cases, random‐effects p value, largest study 95% confidence interval, heterogeneity between studies, 95% prediction interval, small study effect, and excess significance bias. In order to assess evidence for temporality of association, we also conducted sensitivity analyses restricted to data from prospective studies. Fifty‐five meta‐analyses or systematic reviews were included in the umbrella review, corresponding to 683 individual studies and 170 putative risk or protective factors for psychotic disorders. Only the ultra‐high‐risk state for psychosis (odds ratio, OR=9.32, 95% CI: 4.91‐17.72) and Black‐Caribbean ethnicity in England (OR=4.87, 95% CI: 3.96‐6.00) showed convincing evidence of association. Six factors were highly suggestive (ethnic minority in low ethnic density area, second generation immigrants, trait anhedonia, premorbid IQ, minor physical anomalies, and olfactory identification ability), and nine were suggestive (urbanicity, ethnic minority in high ethnic density area, first generation immigrants, North‐African immigrants in Europe, winter/spring season of birth in Northern hemisphere, childhood social withdrawal, childhood trauma, Toxoplasma gondii IgG, and non‐right handedness). When only prospective studies were considered, the evidence was convincing for ultra‐high‐risk state and suggestive for urbanicity only. In summary, this umbrella review found several factors to be associated with psychotic disorders with different levels of evidence. These risk or protective factors represent a starting point for further etiopathological research and for the improvement of the prediction of psychosis. PMID:29352556

How a Meeting in 1970 with Volodya Turned Into a Very Close Friendship

NASA Astrophysics Data System (ADS)

Maor, Uri

The close friendship between Volodya Gribov and myself dates back to the 1970 Rochester High Energy Conference, which took place in Kiev. At that time I was a young Visiting Associate Professor in Berkeley, CA, active, like most of G.F. Chew group members, in both theory and phenomenology studies of S-Matrix Theory of Regge Poles. The Berkeley school approach was initiated by Chew and Frautschi in their 1961 paper, which led to the bootstrap theory. Less known in the West were Gribov's late 1950s and early 1960s papers which led to the definition of the Pomeron, the Reggeon field theory and the Pomeron partonic decomposition. In the early 1970 I was invited to give a talk at the Kiev Rochester Conference. I was very naive thinking that being invited would get me a visa to the Soviet Union, even though it had broken its diplomatic relations with Israel. A short visit to the Soviet Consulate in San Francisco ended with a rude and very clear statement that I did not have a chance to get the desired visa. Luckily, quite a few senior colleagues, who were also invited, convinced the Soviet authorities to grant a small number of Israelis, myself included, the desired visa, provided that we apply in Europe. I had to fly from San Francisco to Helsinki to get my visa and proceed via Leningrad and Moscow on my way to Kiev. Arriving in Kiev I was confronted by a very friendly person, introducing himself as Volodya Gribov. I knew that he was one of the Soviet stars of particle physics, but not much more. Volodya suggested that we should spend our free time in Kiev parks, where we could talk freely. Volodya's suggestion was too exotic to be declined, and we ended spending lots of hours, night after night, in Kiev parks, changing our route each night. Most of the time we were alone, joined by Lev Okun a couple of times. Our conversations centred, at the beginning, on Israeli politics, the Palestinian conflict with Israel and other obvious subjects. The issue of massive immigration from the Soviet Union to Israel following the collapse of the Soviet Union seemed too exotic to even be discussed. Volodya kept asking me about the quality of physics teaching and research back home, but, obviously, this subject was secondary on his priority list. What surprised me was how quickly we started to discuss also very personal issues. In general, I refrain from personal discussions on very private matters. But there was something touching in Volodya's wish to talk. A week later, when the Kiev Conference ended, both of us realised that we have become very close friends. I met Volodya again a year after his son Lenya died in a mountaineering accident, shortly after completing his Ph.D. It was a very sad meeting and in my opinion Volodya partially recovered thanks to Júlia. Years later, I still miss him...

The story of a largely unknown evolution - Germ theory hoax.

PubMed

Wainwright, Milton; Alharbi, Sulaiman Ali

2011-10-01

The Piltdown Man debacle provides us with the most infamous forgery in science. However, another equally intriguing story exists concerning a document by a Bostonian called George Sleeper, which purported to be a pre-Darwin-Wallace anticipation of evolution and an equally convincing account of the germ theory published before Louis Pasteur's famous studies on this subject. The story involves two giants in the world of evolutionary theory, Alfred Russel Wallace and E.B. Poulton. While Wallace was convinced that the Sleeper document was genuine, Poulton's detailed investigations showed that it was a fake and a hoax. Despite this conclusion, doubts still exist about the authenticity of the Sleeper document.

Predicting date rape perceptions: the effects of gender, gender role attitudes, and victim resistance.

PubMed

Black, Katherine A; McCloskey, Kathy A

2013-08-01

The effects of participant gender and victim resistance on date rape perceptions have been inconsistent. Participant gender role attitudes may contribute to these inconsistencies. We found women with traditional gender role attitudes were least likely to agree that the perpetrator was guilty of rape. Participants were less convinced of the perpetrator's guilt when the victim resisted verbally than when she resisted verbally and physically, and participants with traditional gender role attitudes were less convinced of the negative impact on the victim when she resisted verbally than when she resisted verbally and physically. Perhaps previous inconsistencies resulted from varying proportions of men and women with traditional versus liberal gender role attitudes in the samples.

FOREWORD: The 70th birthday of Professor Stig Stenholm The 70th birthday of Professor Stig Stenholm

NASA Astrophysics Data System (ADS)

Suominen, Kalle-Antti

2010-09-01

It is not easy to assess, or even to describe correctly a long and distinguished career that started about the time when I was born. In 1964 Stig Stenholm got both an engineering degree at the Helsinki University of Technology (HUT), and an MSc degree (in Mathematics) at the University of Helsinki. The two degrees demonstrate Stig's ability to understand both complex mathematics and experimental physics. Statistical physics or rather, quantum liquids, was the field in which Stig got his DPhil at Oxford in 1967, under the guidance of Dirk ter Haar. It is interesting that together they worked on studying fermions in a bosonic background [1]; at the time this meant, of course, 3He atoms as impurities in 4He liquid, but nowadays one would immediately connect such systems to the physics of cold atomic gases. The postdoctoral period in 1967-1968 at Yale University brought Stig in contact with Willis Lamb and laser physics [2]. Back in Finland, Stig's career in the 1970s was dominated by theoretical studies of gas lasers, especially pressure and collision effects on spectral lines and saturation spectroscopy, together with his first PhD student, Rainer Salomaa. A professorship at the University of Helsinki came in 1974, and in 1980 an important era started as Stig became the scientific director of the Research Institute for Theoretical Physics (TFT). At that time he also developed the semiclassical theory of laser cooling especially with Juha Javanainen. The laser spectroscopy work led to a textbook in 1984 [3], and the semiclassical laser cooling theory was summarized in a review article in 1986 [4]. These were not, of course, his only interests, as he also worked on free-electron lasers, ring-laser gyroscopes, multiphoton processes and quantum amplifiers. In an article written in 1990 in honour of Olli Lounasmaa [5], the founder of the famous Low Temperature Laboratory at HUT, Stig mentions that one of his most memorable achievements was acting as a bridge between the Western and Soviet laser cooling communities. In neutral Finland, accessible to both parties, he organized informal workshops that crucially sped the development of laser cooling. The importance of these meetings is highlighted in Bill Phillips' Nobel lecture in 1997 [6]. However, as the emphasis in laser cooling moved from a semiclassical description to quantum theory, Stig started to look for new avenues of research. My contact with Stig came when I went to see him for an MSc thesis topic. This involved polarization spectroscopy and modelling of an experiment performed by the laser spectroscopy group (Birger Ståhlberg) at the University of Helsinki. Without knowing anything about quantum optics I then found myself immediately in one of the Finnish-Soviet workshops on quantum electronics in the small town of Porvoo slightly east of Helsinki. There I met people like Juha Javanainen, Peter Knight, Axel Schenzle and Vladimir Chebotayev, and my own career in quantum optics began, working on the mathematics of the Landau-Zener model and how to apply it and other such models in molecular excitation by femtosecond pulses for my PhD thesis. This work was done together with Barry Garraway, who was a postdoc in Helsinki in the early 1990s. The Finnish-Soviet meetings continued for a while, and in 1990 we even got to travel to Novosibirsk (and back, too). During its existence (1964-1996), the Research Institute of Theoretical Physics (TFT) had a tremendous impact on physics in Finland. Short and long stays by visitors provided a unique and high-level environment for local researchers, the research fields covered a wide range of physics, and for many Finns returning from abroad it provided a place to stay until something more permanent turned up. Thus many researchers who later became professors had, at some point in their career, a connection with TFT. As a director Stig was very broad-minded and without this the happy atmosphere of TFT could not have existed. In the 1980s young researchers such as Marc-Andre Dupertuis and Steve Barnett worked with Stig at TFT, and in the 1990s it was the turn of Barry Garraway, Ilkka Tittonen and Nikolay Vitanov among others. For his work in 1992-1997 Stig Stenholm received the prestigious Academy of Finland Professorship which provided him with valuable research funds. My graduation in 1992 was followed by Mackillo Kira in 1995 and Päivi Törmä in 1996. Following developments in the field, in the mid-1990s Stig started to work on Bose-Einstein condensation and quantum information. Later he had a Humboldt fellowship, with stays in Germany shared by the Universities at Konstanz (Jürgen Mlynek) and Ulm (Wolfgang Schleich). Unfortunately, the University of Helsinki decided to replace TFT and a corresponding experimental particle physics institute with a new institute, which was mostly seen as the Finnish front-end for CERN collaboration; in 1997 the Helsinki Institute of Physics (HIP) was started. Although the activities of TFT still existed in the theory section of HIP, many things and especially the atmosphere were changed and in 1997 this partly led Stig to accept a position at the Royal Institute of Technology in Stockholm, Sweden, where two of his Finnish students, Patrik Öhberg and Erika Andersson graduated shortly after the move. I moved to HIP at the time, but left for a position in Turku in 2000, and the quantum optics project was finally switched off at HIP in 2003—only later it was found that quantum optics had provided the Institute with its most cited papers, propelling it into the top 5 percent most cited institutes in its field (especially thanks to Norbert Lütkenhaus and his work on quantum cryptography). The time in Stockholm was fruitful for Stig scientifically, but he also became a member of the Royal Swedish Academy of Sciences, and although Nobel committee papers remain secret for 50 years, it is likely that he had a hand in its activities. In 2005 we jointly published a textbook on quantum information [7] and in Stockholm he had, again, very successful postdocs such as Ulf Leonhardt. Finally, in 2005, Stig Stenholm retired, although he is still active, writing papers, taking part in conferences and making research visits. We honoured his 70th birthday at the CEWQO2009 conference, and hope that the future provides us with further opportunities for such events. Looking at the obituary of Dirk ter Haar, I see that his style with students reminds me of Stig's approach. In my opinion, Stig expects independence and initiative from a student, giving perhaps a broad topic in which the student is expected to find his or her own way, whilst working perhaps with a postdoc. Juha Javanainen has talked about the 'sink or swim' style (not referring to Stig, though). There is a famous series of children's books about Moomin trolls by Tove Jansson (another Swedish-speaking Finn like Stig). In one of them, the Moomin find in early spring a small flower in a patch of land uncovered by snow, pushing its way up. One of them wants to cover it against frost during the night, but another says 'Don't, it'll fare better later if it has some difficulties at first'. At CEWQO2009 Stig gave the full list of his finished PhD students: Rainer Salomaa (1973), Temba Dlodlo (1980), Juha Javanainen (1980), Markus Lindberg (1985), Matti Kaivola (1985), Birger Ståhlberg (1985), Kalle-Antti Suominen (1992), Mackillo Kira (1995), Päivi Törmä (1996), Asta Paloviita (1997), Patrik Öhberg (1998), Martti Havukainen (1999), Erika Andersson (2000), Pawel Piwnicki (2001), Åsa Larson (2001), Markku Jääskeläinen (2003), and Jonas Larson (2005). One should also mention Erkki Kyrölä, who eventually graduated at Rochester and Olli Serimaa, who never graduated but published some important early-stage laser cooling work. As a final note I must mention a passion that Stig and I share, namely books. I have nearly 400 professional physics and mathematics books, but I am certain that the size of Stig's library exceeds this by far. And this passion is not solely limited to professional books, as one can see, for example, from the references in Stig's article for these proceedings. His interests cover philosophy, history, science fiction and many other topics, and more importantly, the books in his library also get read. In modern times of narrow specialization, high efficiency and h-index, his approach to science and culture sets an example that is worth following. References [1] Stenholm S and ter Haar D 1968 Dilute mixtures of 3He in superfluid 4He Physica 38 133 [2] Stenholm S and Lamb W E 1969 Semiclassical theory of a high-intensity laser Phys. Rev. 181 618 [3] Stenholm S 1984 The Foundations of Laser Spectroscopy (New York: Wiley) [4] Stenholm S 1986 The semiclassical theory of laser cooling Rev. Mod. Phys. 58 699 [5] Stenholm S 1998 Physics that matters Arkhimedes 42 197 [6] Phillips W D 1990 Nobel lecture: laser cooling and trapping of neutral atoms Rev. Mod. Phys. 70 721 [7] Stenholm S and Suominen K-A 2005 Quantum Approach to Informatics (New York: Wiley)

Joint associations of sleep duration and insomnia symptoms with subsequent sickness absence: the Helsinki Health Study.

PubMed

Lallukka, Tea; Haaramo, Peija; Rahkonen, Ossi; Sivertsen, Børge

2013-07-01

We aimed to examine the joint associations of sleep duration and insomnia symptoms with subsequent sickness absence of various lengths while considering several covariates. Baseline surveys among 40-60-year-old employees of the City of Helsinki, Finland, (N = 6535) were prospectively linked with employer's personnel register data comprising short self-certified (1-3 days), medically-certified intermediate (4-14 days) and long (15 days or more) sickness absence spells. Average follow-up time was 4.1 years. Sleep duration, insomnia symptoms, sociodemographics, working conditions, health behaviours and health were self-reported in the surveys. Poisson regression analysis was used. Insomnia symptoms were associated with sickness absence at all levels of sleep duration. Adjusting for gender and age, U-shaped associations regarding sleep hours were found. Thus, those reporting short or long sleep and reporting insomnia symptoms had a higher risk for medically-certified intermediate and long sickness absence as compared to those reporting 7 hours of sleep without insomnia symptoms. Also, those reporting 6, 7, and 8 hours of sleep had a higher risk for such sickness absence, if they reported insomnia. Weak associations were also found for self-certified sickness absence, and for those reporting short and long sleep without insomnia. Adjustments attenuated the associations, but they mainly remained. These results suggest primacy of the effects of insomnia symptoms over sleep duration on sickness absence. Although insomnia dominated the joint association, U-shaped associations suggest that both sleep duration and insomnia symptoms need to be considered to promote work ability.

Occupational class inequalities in health across employment sectors: the contribution of working conditions.

PubMed

Lahelma, Eero; Laaksonen, Mikko; Aittomäki, Akseli

2009-01-01

While health inequalities among employees are well documented, their variation and determinants among employee subpopulations are poorly understood. We examined variations in occupational class inequalities in health within four employment sectors and the contribution of working conditions to these inequalities. Cross-sectional data from the Helsinki Health Study in 2000-2002 were used. Each year, employees of the City of Helsinki, aged 40-60 years, received a mailed questionnaire (n = 8,960, 80% women, overall response rate for 3 years 67%). The outcome was physical health functioning measured by the overall physical component summary of SF-36. The socioeconomic indicator was occupational social class. Employment sectors studied were health care, education, social welfare and administration (n = 6,557). Physical and mental workload, and job demands and job control were explanatory factors. Inequality indices from logistic regression analysis were calculated. Occupational class inequalities in physical health functioning were slightly larger in education (1.47) than in the other sectors (1.43-1.40). Physical workload explained 95% of inequalities in social welfare and 32-36% in the other sectors. Job control also partly explained health inequalities. However, adjusting for mental workload and job demands resulted in larger health inequalities. Inequalities in physical health functioning were found within each employment sector, with minor variation in their magnitude. Physical workload was the main explanation for these inequalities, but its contribution varied between the sectors. In contrast, considering psychosocial working conditions led to wider inequalities. Improving physical working conditions among the lower occupational classes would help reduce health inequalities within different employment sectors.

Analyses of Helsinki 2012 European Athletics Championships injury and illness surveillance to discuss elite athletes risk factors.

PubMed

Edouard, Pascal; Depiesse, Frédéric; Branco, Pedro; Alonso, Juan-Manuel

2014-09-01

To further analyze newly incurred injuries and illnesses (I&Is) during Athletics International Championships to discuss risk factors. Prospective recording of newly occurred injuries and illnesses. The 2012 European Athletics (EA) Championships in Helsinki, Finland. National team and local organizing committee physicians and physiotherapists and 1342 registered athletes. Incidence and characteristics of new injuries and illnesses. Ninety-three percent of athletes were covered by medical teams, with a response rate of 91%. One hundred thirty-three injuries were reported (incidence of 98.4 injuries per 1000 registered athletes). Sixty-two injuries (47%) resulted in time loss from sport. The most common diagnosis was hamstring strain (11.4% of injuries and 21% of time-loss injuries). Injury risk was higher in males and increased with age. The highest incidences of injuries were found in combined events and middle- and long-distance events. Twenty-seven illnesses were reported (4.0 illnesses per 1000 athlete days). The most common diagnoses were upper respiratory tract infection (33.3%) and gastroenteritis/diarrhea (25.9%). During outdoor EA Championships, injury and illness incidences were slightly lower and injury characteristics were comparable with those during outdoor World Athletics Championships. During elite athletics Championships, gender (male), age (older than 30 years), finals, and some events (combined events and middle- and long-distance races) seem to be injury risk factors. Illness risk factors remain unclear. As in previous recommendations, preventive interventions should focus on overuse injuries, hamstring strains, and adequate rehabilitation of previous injuries, decreasing risk of infectious diseases transmission, appropriate event scheduling, sports clothes, and heat acclimatization.

Recognizing explosion sites with a self-organizing network for unsupervised learning

NASA Astrophysics Data System (ADS)

Tarvainen, Matti

1999-06-01

A self-organizing neural network model has been developed for identifying mining explosion locations in different environments in Finland and adjacent areas. The main advantage of the method is its ability to automatically find a suitable network structure and naturally correctly identify explosions as such. The explosion site recognition was done using extracted waveform attributes of various kind event records from the small-aperture array FINESS in Finland. The recognition was done by using P-S phase arrival differences and rough azimuth estimates to provide a first robust epicentre location. This, in turn, leads to correct mining district identification where more detailed tuning was performed using different phase amplitude and signal-to-noise attributes. The explosions studied here originated in mines and quarries located in Finland, coast of Estonia and in the St. Petersburg area, Russia. Although the Helsinki bulletins in 1995 and 1996 listed 1649 events in these areas, analysis was restricted to the 380 (ML≥2) events which, besides, were found in the reviewed event bulletins (REB) of the CTBTO/UN prototype international data centre (pIDC) in Arlington, VA, USA. These 380 events with different attributes were selected for the learning stage. Because no `ground-truth' information was available the corresponding mining, `code' coordinates used earlier to compile Helsinki bulletins were utilized instead. The novel self-organizing method was tested on 18 new event recordings in the mentioned area in January-February 1997, out of which 15 were connected to correct mines. The misconnected three events were those which did not have all matching attributes in the self-organizing maps (SOMs) network.

The sense of coherence and risk of injuries: role of alcohol consumption and occupation.

PubMed

Poppius, E; Virkkunen, H; Hakama, M; Tenkanen, L

2008-01-01

To test the hypothesis that individuals with a strong sense of coherence (SOC) have a decreased incidence of external cause injuries and to study the role of alcohol consumption and occupational category in that association. Participants of the Helsinki Heart Study were followed up for injuries for eight years through the national hospital discharge register and cause of death statistics. Cox proportional hazards models were used to calculate the relative risks. The Helsinki Heart Study, a clinical trial to prevent coronary heart disease. 4405 Finnish middle-aged employed men. The SOC was inversely associated with the risk of injuries, with a significant 25% lower incidence in the highest tertile of SOC (7.6 per 1000 person-years) compared with the lowest (10.2 per 1000 person-years). The association remained significant if adjusted for age, but not if adjusted additionally for alcohol consumption or occupation. When considered jointly with occupational category, the injury risk showed a decreasing trend (p = 0.02) with increasing SOC among blue collar but not among white collar workers. The use of alcohol had a great impact on injury risk among those with weak SOC, with incidences of 7.7, 10.2, and 14.9 per 1000 person-years in the non/light, medium, and heavy categories of consumption (p for trend 0.01). No such trend was seen in other SOC tertiles. There was an effect of SOC on the incidence of injury especially among blue collar workers. A substantial part of the effect was mediated by alcohol consumption.

Workplace bullying and subsequent psychotropic medication: a cohort study with register linkages

PubMed Central

Lallukka, Tea; Haukka, Jari; Partonen, Timo; Rahkonen, Ossi; Lahelma, Eero

2012-01-01

Objectives We aimed to examine longitudinally whether workplace bullying was associated with subsequent psychotropic medication among women and men. Design A cohort study. Setting Helsinki, Finland. Participants Employees of the City of Helsinki, Finland (n=6606, 80% women), 40–60 years at baseline in 2000–2002, and a register-based follow-up on medication. Primary and secondary outcome measures Workplace bullying comprised questions about current and earlier bullying as well as observing bullying. The Finnish Social Insurance Institution's register data on purchases of prescribed reimbursed psychotropic medication were linked with the survey data. All psychotropic medication 3 years prior to and 5 years after the baseline survey was included. Covariates included age, prior psychotropic medication, childhood bullying, occupational class, and body mass index. Cox proportional hazard models (HR, 95% CI) were fitted and days until the first purchase of prescribed psychotropic medication after baseline were used as the time axis. Results Workplace bullying was associated with subsequent psychotropic medication after adjusting for age and prior medication among both women (HR 1.51, 95% CI 1.18 to 1.93) and men (HR 2.15, 95% CI 1.36 to 3.41). Also observing bullying was associated with subsequent psychotropic medication among women (HR 1.53, 95% CI 1.25 to 1.88) and men (HR 1.92, 95% CI 1.23 to 2.99). The associations only modestly attenuated after full adjustment. Conclusions Our findings highlight the significance of workplace bullying to subsequent psychotropic medication reflecting medically confirmed mental problems. Tackling workplace bullying likely helps prevent mental problems among employees. PMID:23242240

VOC source identification from personal and residential indoor, outdoor and workplace microenvironment samples in EXPOLIS-Helsinki, Finland

NASA Astrophysics Data System (ADS)

Edwards, Rufus D.; Jurvelin, J.; Koistinen, K.; Saarela, K.; Jantunen, M.

Principal component analyses (varimax rotation) were used to identify common sources of 30 target volatile organic compounds (VOCs) in residential outdoor, residential indoor and workplace microenvironment and personal 48-h exposure samples, as a component of the EXPOLIS-Helsinki study. Variability in VOC concentrations in residential outdoor microenvironments was dominated by compounds associated with long-range transport of pollutants, followed by traffic emissions, emissions from trees and product emissions. Variability in VOC concentrations in environmental tobacco smoke (ETS) free residential indoor environments was dominated by compounds associated with indoor cleaning products, followed by compounds associated with traffic emissions, long-range transport of pollutants and product emissions. Median indoor/outdoor ratios for compounds typically associated with traffic emissions and long-range transport of pollutants exceeded 1, in some cases quite considerably, indicating substantial indoor source contributions. Changes in the median indoor/outdoor ratios during different seasons reflected different seasonal ventilation patterns as increased ventilation led to dilution of those VOC compounds in the indoor environment that had indoor sources. Variability in workplace VOC concentrations was dominated by compounds associated with traffic emissions followed by product emissions, long-range transport and air fresheners. Variability in VOC concentrations in ETS free personal exposure samples was dominated by compounds associated with traffic emissions, followed by long-range transport, cleaning products and product emissions. VOC sources in personal exposure samples reflected the times spent in different microenvironments, and personal exposure samples were not adequately represented by any one microenvironment, demonstrating the need for personal exposure sampling.

Treatment of obstructive sleep apnoea patients in community dental care: knowledge and attitudes among general dental practitioners and specialist dentists.

PubMed

Vuorjoki-Ranta, T-R; Lobbezoo, F; Vehkalahti, M; Tuomilehto, H; Ahlberg, J

2016-12-01

Obstructive sleep apnoea (OSA) is an increasing problem worldwide. Yet, a large number of patients may remain undiagnosed. Dentists could suspect OSA, but little is known about their knowledge and attitudes towards the topic. An email questionnaire was sent to dentists working in Helsinki Health Centre, Helsinki, Finland (n = 226). It consisted of demographic data, items on dentists' overall knowledge of OSA and factors associated with it, and their possibilities and willingness to take part in the recognition and treatment of OSA patients. Altogether, 70·9% (n = 134) of dentists eligible for the study completed the questionnaire. Of them, 79·1% (n = 106) were general practitioners and 20·9% (n = 28) dentists with specialty training. Continuous positive airway pressure (CPAP) (99·3%) and weight control (99·3%) were both generally acknowledged as effective methods to treat OSA. Regarding the efficacy of other treatment modalities, significant differences were found between general practitioners' and specialists' opinions. For example, mandibular advancement devices (MAD) were less often reported by general practitioners (69·8%) than specialists (89·3%) (P < 0·05). The possible risk factors, signs and symptoms, and consequences of OSA were overall well recognised regardless the years in dental profession, but specialists saw more often that nocturnal sweating (P < 0·01) and snoring (P < 0·05) may signify OSA. Dentists could play an important role in suspecting OSA, but they may need more education to cope with that. © 2016 John Wiley & Sons Ltd.

Changes in healthy food habits after transition to old age retirement.

PubMed

Helldán, Anni; Lallukka, Tea; Rahkonen, Ossi; Lahelma, Eero

2012-08-01

Retirement is one of the major transitions in the life course. However, it is poorly understood how health behaviours, such as food habits, might change after retirement. This study aimed to examine whether healthy food habits change after the transition to old age retirement and whether socio-demographic or health-related factors explain the association between retirement, being continuously employed and healthy food habits at follow-up. The data were derived from the Helsinki Health Study cohort on the staff of the City of Helsinki, Finland. The baseline questionnaire survey data were collected in 2000-02 and the follow-up in 2007. We included only participants who were aged 55-60 years at baseline and entered old age retirement during the follow-up (n = 1156, 76% women) or remained continuously employed (n = 1269, 79% women). Food habits from a food frequency questionnaire included eight items formed according to the Finnish and Nordic dietary recommendations. Logistic regression models were fitted to examine the associations between retirement, being continuously employed and healthy food habits at follow-up. Healthy food habits increased more among retired women than those continuously employed (P = 0.03). At follow-up retired women had healthier food habits than continuously employed women after adjusting for baseline food habits [OR = 1.36 (1.12-1.65)]. Among men, healthy food habits were unassociated with retirement. Transition to old age retirement is likely to have beneficial effects on food habits among women. This helps prevent major diseases and supports better public health among ageing people.

Toward a computational theory for motion understanding: The expert animators model

NASA Technical Reports Server (NTRS)

Mohamed, Ahmed S.; Armstrong, William W.

1988-01-01

Artificial intelligence researchers claim to understand some aspect of human intelligence when their model is able to emulate it. In the context of computer graphics, the ability to go from motion representation to convincing animation should accordingly be treated not simply as a trick for computer graphics programmers but as important epistemological and methodological goal. In this paper we investigate a unifying model for animating a group of articulated bodies such as humans and robots in a three-dimensional environment. The proposed model is considered in the framework of knowledge representation and processing, with special reference to motion knowledge. The model is meant to help setting the basis for a computational theory for motion understanding applied to articulated bodies.

Valuation of travel time savings in viewpoint of WTA.

PubMed

Shao, Chang-Qiao; Liu, Yang; Liu, Xiao-Ming

2014-01-01

In order to investigate the issues in measurement of value of travel time savings (VTTS), the willingness-to-accept (WTA) for the private car owner is studied by using surveyed data. It is convincing that trip purpose, trip length, time savings, cost savings, income, and allowance from employee have effects on the WTA. Moreover, influences of these variables are not the same for different trip purposes. For commuting trips, effects of income and allowance from employee are significant while time savings and cost savings are dominated for leisure and shopping trips. It is also found that WTA is much higher than expected which implies that there are a group of drivers who are not prone to switching to other trip modes other than passenger car.

Family Violence and the Need for Prevention Research in First Nations, Inuit, and Métis Communities1

PubMed Central

Andersson, Neil; Nahwegahbow, Amy

2010-01-01

Existing sources produce widely varying estimates of family violence in First Nations, Inuit, and Métis communities; taken together, they imply a convincing if poorly quantified higher risk of family violence in Aboriginal communities, with the greater burden borne by women. With the accelerating HIV epidemic in some Aboriginal communities, prevention of domestic violence takes on even greater urgency. Five planks in a prevention research platform include: training emerging researchers from all Aboriginal groups to promote culturally specific research; systematic review of unpublished and published knowledge of interventions that reduce domestic violence; intervention theory development specific to each community; attention to the particular ethical issues; and methods development focused on interventions. PMID:20975851

Non preemptive soft real time scheduler: High deadline meeting rate on overload

NASA Astrophysics Data System (ADS)

Khalib, Zahereel Ishwar Abdul; Ahmad, R. Badlishah; El-Shaikh, Mohamed

2015-05-01

While preemptive scheduling has gain more attention among researchers, current work in non preemptive scheduling had shown promising result in soft real time jobs scheduling. In this paper we present a non preemptive scheduling algorithm meant for soft real time applications, which is capable of producing better performance during overload while maintaining excellent performance during normal load. The approach taken by this algorithm has shown more promising results compared to other algorithms including its immediate predecessor. We will present the analysis made prior to inception of the algorithm as well as simulation results comparing our algorithm named gutEDF with EDF and gEDF. We are convinced that grouping jobs utilizing pure dynamic parameters would produce better performance.

Consent to medical research of vulnerable subjects from the French point of view: the example of consent in research in the case of Alzheimer disease.

PubMed

Duguet, Anne-Marie; Boyer-Beviere, Bénédicte

2011-12-01

The consent to research is the expression of autonomy. Some groups are vulnerable and cannot give free consent because their conditions limit their decision making or because they are unable to consent themselves (minor, incompetent adults). International standards and recommendations for medical research protect vulnerable subjects (article 17 of the Helsinki declaration, guidelines 9 and 13 of the CIOMS, article 17 of the Oviedo Convention). French Law protects mostly three categories of vulnerable people: minors, adults with a legal representative, and the people living in sanitary and social establishments. Specific protection is given as well to pregnant women, detainees and persons with psychiatric disorders in involuntary commitment. From the example of research with Alzheimer patients the authors show the original provisions of French legislation to involve in medical research incompetent patients with or without legal protection. Clinical research on Alzheimer's disease poses challenges as never before to research ethics. In fact, the development of the disease progressively reduces the patient's ability to make choices: the latter is no longer capable, but is not totally incapacitated. Several solutions are offered for a "proxy" consent or authorisation.

Five years later: the current status of the use of proteomics and transcriptomics in EMF research.

PubMed

Leszczynski, Dariusz; de Pomerai, David; Koczan, Dirk; Stoll, Dieter; Franke, Helmut; Albar, Juan Pablo

2012-08-01

The World Health Organization's and Radiation and Nuclear Safety Authority's "Workshop on Application of Proteomics and Transcriptomics in Electromagnetic Fields Research" was held in Helsinki in the October/November 2005. As a consequence of this meeting, Proteomics journal published in 2006 a special issue "Application of Proteomics and Transcriptomics in EMF Research" (Vol. 6 No. 17; Guest Editor: D. Leszczynski). This Proteomics issue presented the status of research, of the effects of electromagnetic fields (EMF) using proteomics and transcriptomics methods, present in 2005. The current overview/opinion article presents the status of research in this area by reviewing all studies that were published by the end of 2010. The review work was a part of the European Cooperation in the Field of Scientific and Technical Research (COST) Action BM0704 that created a structure in which researchers in the field of EMF and health shared knowledge and information. The review was prepared by the members of the COST Action BM0704 task group on the high-throughput screening techniques and electromagnetic fields (TG-HTST-EMF). © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Epigenomic profiling of men exposed to early-life stress reveals DNA methylation differences in association with current mental state.

PubMed

Khulan, B; Manning, J R; Dunbar, D R; Seckl, J R; Raikkonen, K; Eriksson, J G; Drake, A J

2014-09-23

Early-life stress (ELS) is known to be associated with an increased risk of neuropsychiatric and cardiometabolic disease in later life. One of the potential mechanisms underpinning this is through effects on the epigenome, particularly changes in DNA methylation. Using a well-phenotyped cohort of 83 men from the Helsinki Birth Cohort Study, who experienced ELS in the form of separation from their parents during childhood, and a group of 83 matched controls, we performed a genome-wide analysis of DNA methylation in peripheral blood. We found no differences in DNA methylation between men who were separated from their families and non-separated men; however, we did identify differences in DNA methylation in association with the development of at least mild depressive symptoms over the subsequent 5-10 years. Notably, hypomethylation was identified at a number of genes with roles in brain development and/or function in association with depressive symptoms. Pathway analysis revealed an enrichment of DNA methylation changes in pathways associated with development and morphogenesis, DNA and transcription factor binding and programmed cell death. Our results support the concept that DNA methylation differences may be important in the pathogenesis of psychiatric disease.

Swarm intelligence in fish? The difficulty in demonstrating distributed and self-organised collective intelligence in (some) animal groups.

PubMed

Ioannou, Christos C

2017-08-01

Larger groups often have a greater ability to solve cognitive tasks compared to smaller ones or lone individuals. This is well established in social insects, navigating flocks of birds, and in groups of prey collectively vigilant for predators. Research in social insects has convincingly shown that improved cognitive performance can arise from self-organised local interactions between individuals that integrates their contributions, often referred to as swarm intelligence. This emergent collective intelligence has gained in popularity and been directly applied to groups of other animals, including fish. Despite being a likely mechanism at least partially explaining group performance in vertebrates, I argue here that other possible explanations are rarely ruled out in empirical studies. Hence, evidence for self-organised collective (or 'swarm') intelligence in fish is not as strong as it would first appear. These other explanations, the 'pool-of-competence' and the greater cognitive ability of individuals when in larger groups, are also reviewed. Also discussed is why improved group performance in general may be less often observed in animals such as shoaling fish compared to social insects. This review intends to highlight the difficulties in exploring collective intelligence in animal groups, ideally leading to further empirical work to illuminate these issues. Copyright © 2016 The Author. Published by Elsevier B.V. All rights reserved.

Prevention and control of viral hepatitis: the role and impact of patient and advocacy groups in and outside Europe.

PubMed

FitzSimons, David W

2008-10-23

The Viral Hepatitis Prevention Board and the European Liver Patients Association jointly organized a meeting (Lucca, Italy, 13-14 March 2008) to review the role and impact of patients' organizations and advocacy groups in Europe and the USA on the prevention and control of viral hepatitis. The national and international groups described a wide variety of organizational structures, means of funding, services and activities. Participants reported numerous obstacles and difficulties, ranging from limited funding, weak governmental support and the lack of a high-profile lobby to residual prejudice against people with viral hepatitis and cultural barriers. The groups' experiences formed an impressive list of strengths and achievements, including international and national campaigns, networking, building of excellent relations with the media, support from and respect of professional bodies, greater respect of patients' human rights, improved access to counselling and treatment, and influence on national and international policies. The meeting highlighted opportunities, for example, to complete programmes of immunization against hepatitis B, to convince governments of the economic value of public health interventions, and raise awareness of the value of a healthy liver.

Co-benefits of addressing climate change can motivate action around the world

NASA Astrophysics Data System (ADS)

Bain, Paul G.; Milfont, Taciano L.; Kashima, Yoshihisa; Bilewicz, Michał; Doron, Guy; Garðarsdóttir, Ragna B.; Gouveia, Valdiney V.; Guan, Yanjun; Johansson, Lars-Olof; Pasquali, Carlota; Corral-Verdugo, Victor; Aragones, Juan Ignacio; Utsugi, Akira; Demarque, Christophe; Otto, Siegmar; Park, Joonha; Soland, Martin; Steg, Linda; González, Roberto; Lebedeva, Nadezhda; Madsen, Ole Jacob; Wagner, Claire; Akotia, Charity S.; Kurz, Tim; Saiz, José L.; Schultz, P. Wesley; Einarsdóttir, Gró; Saviolidis, Nina M.

2016-02-01

Personal and political action on climate change is traditionally thought to be motivated by people accepting its reality and importance. However, convincing the public that climate change is real faces powerful ideological obstacles, and climate change is slipping in public importance in many countries. Here we investigate a different approach, identifying whether potential co-benefits of addressing climate change could motivate pro-environmental behaviour around the world for both those convinced and unconvinced that climate change is real. We describe an integrated framework for assessing beliefs about co-benefits, distinguishing social conditions (for example, economic development, reduced pollution or disease) and community character (for example, benevolence, competence). Data from all inhabited continents (24 countries; 6,196 participants) showed that two co-benefit types, Development (economic and scientific advancement) and Benevolence (a more moral and caring community), motivated public, private and financial actions to address climate change to a similar degree as believing climate change is important. Critically, relationships were similar for both convinced and unconvinced participants, showing that co-benefits can motivate action across ideological divides. These relationships were also independent of perceived climate change importance, and could not be explained by political ideology, age, or gender. Communicating co-benefits could motivate action on climate change where traditional approaches have stalled.

Affective and executive network processing associated with persuasive antidrug messages.

PubMed

Ramsay, Ian S; Yzer, Marco C; Luciana, Monica; Vohs, Kathleen D; MacDonald, Angus W

2013-07-01

Previous research has highlighted brain regions associated with socioemotional processes in persuasive message encoding, whereas cognitive models of persuasion suggest that executive brain areas may also be important. The current study aimed to identify lateral prefrontal brain areas associated with persuasive message viewing and understand how activity in these executive regions might interact with activity in the amygdala and medial pFC. Seventy adolescents were scanned using fMRI while they watched 10 strongly convincing antidrug public service announcements (PSAs), 10 weakly convincing antidrug PSAs, and 10 advertisements (ads) unrelated to drugs. Antidrug PSAs compared with nondrug ads more strongly elicited arousal-related activity in the amygdala and medial pFC. Within antidrug PSAs, those that were prerated as strongly persuasive versus weakly persuasive showed significant differences in arousal-related activity in executive processing areas of the lateral pFC. In support of the notion that persuasiveness involves both affective and executive processes, functional connectivity analyses showed greater coactivation between the lateral pFC and amygdala during PSAs known to be strongly (vs. weakly) convincing. These findings demonstrate that persuasive messages elicit activation in brain regions responsible for both emotional arousal and executive control and represent a crucial step toward a better understanding of the neural processes responsible for persuasion and subsequent behavior change.

The ethics of animal research: a survey of pediatric health care workers.

PubMed

Joffe, Ari R; Bara, Meredith; Anton, Natalie; Nobis, Nathan

2014-12-30

Pediatric health care workers (HCW) often perform, promote, and advocate use of public funds for animal research (AR). We aim to determine whether HCW consider common arguments (and counterarguments) in support (or not) of AR convincing. After development and validation, an e-mail survey was sent to all pediatricians and pediatric intensive care unit nurses and respiratory therapists (RTs) affiliated with a Canadian University. We presented questions about demographics, support for AR, and common arguments (with their counterarguments) to justify the moral permissibility (or not) of AR. Responses are reported using standard tabulations. Responses of pediatricians and nurses/RTs were compared using Chi-square, with P < .05 considered significant. Response rate was 53/115(46%) (pediatricians), and 73/120(61%) (nurses/RTs). Pediatricians and nurses/RTs are supportive of AR. Most considered 'benefits arguments' sufficient to justify AR; however, most acknowledged that counterarguments suggesting alternative research methods may be available, or that it is unclear why the same 'benefits arguments' do not apply to using humans in research, significantly weakened 'benefits arguments'. Almost all were not convinced of the moral permissibility of AR by 'characteristics of non-human-animals arguments', including that non-human-animals may not be sentient, or are simply property. Most were not convinced of the moral permissibility of AR by 'human exceptionalism' arguments, including that humans have more advanced mental abilities, are of a special 'kind', can enter into social contracts, or face a 'lifeboat situation'. Counterarguments explained much of this, including that not all humans have these more advanced abilities [the argument from species overlap], and that the notion of 'kind' is arbitrary [e.g., why are we not of the kind 'sentient animal' or 'subject-of-a-life']. Pediatrician and nurse/RT responses were similar. Most respondents were not convinced of the moral permissibility of AR when given common arguments and counterarguments from the literature. HCW should seriously consider arguments on both sides of the AR debate.

Judgement of suffering in the case of a euthanasia request in The Netherlands.

PubMed

Rietjens, J A C; van Tol, D G; Schermer, M; van der Heide, A

2009-08-01

In The Netherlands, physicians have to be convinced that the patient suffers unbearably and hopelessly before granting a request for euthanasia. The extent to which general practitioners (GPs), consulted physicians and members of the euthanasia review committees judge this criterion similarly was evaluated. 300 GPs, 150 consultants and 27 members of review committees were sent a questionnaire with patient descriptions. Besides a "standard case" of a patient with physical suffering and limited life expectancy, the descriptions included cases in which the request was mainly rooted in psychosocial or existential suffering, such as fear of future suffering or dependency. For each case, respondents were asked whether they recognised the case from their own practice and whether they considered the suffering to be unbearable. The cases were recognisable for almost all respondents. For the "standard case" nearly all respondents were convinced that the patient suffered unbearably. For the other cases, GPs thought the suffering was unbearable less often (2-49%) than consultants (25-79%) and members of the euthanasia review committees (24-88%). In each group, the suffering of patients with early dementia and patients who were "tired of living" was least often considered to be unbearable. When non-physical aspects of suffering are central in a euthanasia request, there is variance between and within GPs, consultants and members of the euthanasia committees in their judgement of the patient's suffering. Possible explanations could be differences in their roles in the decision-making process, differences in experience with evaluating a euthanasia request, or differences in views regarding the permissibility of euthanasia.

Asthma counselling targeted to removal of domestic animals

PubMed Central

Hagan, Louise; Valois, Pierre; Patenaude, Hélène; Boutin, Hélène; Boulet, Louis-Philippe; Lafrenière, France

2008-01-01

OBJECTIVES: To create and evaluate the efficacy of a short individualized educational intervention program, based on Prochaska’s transtheoretical model, for a six-month period in a population of adult asthma patients living with domestic animals but sensitized to these pets. METHODS: A randomized, controlled study using a pretested questionnaire was conducted at three different times (pretest, and at three and six months postintervention). RESULTS: Eleven members (29%) of the intervention group and eight members (21%) of the control group removed their pets within six months (χ2=3.23; P>0.35). The two groups showed similar improvements in their perception of the benefits of pet removal and in their level of belief that they could do it. The experimental group showed a greater improvement in knowledge acquisition about asthma and allergies than the control group (P<0.05). Both experimental and standard educational interventions were effective in facilitating progression through the stages of behavioural change. CONCLUSION: Overall, the results do not support the utility of behavioural change educational intervention, tailored to the transtheoretical model stage of the individual, in the context of convincing patients to remove their pets from their homes. However, the decision-making aid appears to be helpful in raising awareness of the problem of asthma and allergy in the patient, and in developing appropriate knowledge. PMID:18292851

[Diagnosing gender identity].

PubMed

Kaltiala-Heino, Riittakerttu; Mattila, Aino; Kärnä, Teemu; Joutsenneimi, Kaisla

2015-01-01

Transsexualism and other variations of gender identity are based on a stable sense of identity. The aetiology of this phenomenon is not fully known. Suffering caused by gender dysphoria is alleviated with sex reassignment. The psychiatric assessment of both adolescents and adults has been centralized in Finland to two university hospitals, the Helsinki University Hospital and Tampere University Hospital. In both hospitals, multidisciplinary teams aim at differential diagnosis by using well-known psychiatric and psychological instruments. Wishes for sex reassignment that are caused by a mental health disorder are excluded. Assessment in adolescence is challenging because the identity in youth is still forming.

Occurrence of $sup 137$Cs in the biosphere evaluated with environmental and metabolic studies

DOE Office of Scientific and Technical Information (OSTI.GOV)

Haesaenen, E.

This work forms a part of the fall-out studies carried out in the Department of Radiochemistry, University of Helsinki. Its main emphasis has been on the $gamma$-spectrometric determination of the $sup 137$Cs-levels and changes herein in different environmental samples and in man after the second nuclear testing period in 1961--1962. Special attention has been paid to the aquatic foodchains of $sup 137$Cs, to the foodchain reindeer-lichen-man, and to the biological half-life of $sup 137$Cs in man and in certain fish species. (auth)

Freeware eLearning Flash-ECG for learning electrocardiography.

PubMed

Romanov, Kalle; Kuusi, Timo

2009-06-01

Electrocardiographic (ECG) analysis can be taught in eLearning programmes with suitable software that permits the effective use of basic tools such as a ruler and a magnifier, required for measurements. The Flash-ECG (Research & Development Unit for Medical Education, University of Helsinki, Finland) was developed to enable teachers and students to use scanned and archived ECGs on computer screens and classroom projectors. The software requires only a standard web browser with a Flash plug-in and can be integrated with learning environments (Blackboard/WebCT, Moodle). The Flash-ECG is freeware and is available to medical teachers worldwide.

The Therapeutic "Mis"conception: An Examination of its Normative Assumptions and a Call for its Revision.

PubMed

Mathews, Debra J H; Fins, Joseph J; Racine, Eric

2018-01-01

Dissecting Bioethics, edited by Tuija Takala and Matti Hayry, welcomes contributions on the conceptual and theoretical dimensions of bioethics. The department is dedicated to the idea that words defined by bioethicists and others should not be allowed to imprison people's actual concerns, emotions, and thoughts. Papers that expose the many meanings of a concept, describe the different readings of a moral doctrine, or provide an alternative angle to seemingly self-evident issues are particularly appreciated. To submit a paper or to discuss a suitable topic, contact Tuija Takala at tuija.takala@helsinki.fi.

EMI induced by HUT (Helsinki University of Technology) aircraft

DOE Office of Scientific and Technical Information (OSTI.GOV)

Valmu, H.; Nikulainen, M.; Bagge, R.

1996-10-01

The different EMI behaviors of typical turboprop and piston engine aircraft were measured. As expected the level of EMI induced by piston engines were found significantly higher than the interferences induced by turboprop engines and interferences were detected in the whole band covered in the measurements (100-1000 MHz). Finally the interferences induced by the HUT remote sensing aircraft, Short SC7 Skyvan (turboprop), were analyzed and disturbances were found only in a narrow band below 100 MHz and the level of these interferences were significantly lower than the EMI induced by piston engines. 2 figs.

[Attitudes of occupational medicine nurses towards workers' health promotion].

PubMed

Puchalski, Krzysztof; Korzeniowska, Elzbieta; Iwanowicz, Eliza

2007-01-01

The paper outlines the outcomes of a survey aimed at identifying the attitudes of occupational medicine nurses towards health promotion. The survey was carried out on a random sample of 277 nurses. Almost all respondents think that their occupational group should undertake health promotion activities. However, half of them is convinced that health promotion is only a new name for health education and medical prophylaxis. The vast majority of nurses think that under health promotion programs they should mostly deal with individual health education of patients and encourage them to adopt healthy lifestyles, and they usually undertake this kind of activities. A large number of respondents are not willing to be involved in the organization, marketing, and evaluation of health promotion projects. There is a great need to intensify measures to motivate nurses to play the roles that are neglected by them, such as looking for new professional groups to undertake activities stimulating health promotion in companies, and developing new institutional and systemic support conducive to making progress in such processes.

Essential Oil Variation from Twenty Two Genotypes of Citrus in Brazil-Chemometric Approach and Repellency Against Diaphorina citri Kuwayama.

PubMed

Andrade, Moacir Dos Santos; Ribeiro, Leandro do Prado; Borgoni, Paulo Cesar; Silva, Maria Fátima das Graças Fernandes da; Forim, Moacir Rossi; Fernandes, João Batista; Vieira, Paulo Cezar; Vendramin, José Djair; Machado, Marcos Antônio

2016-06-22

The chemical composition of volatile oils from 22 genotypes of Citrus and related genera was poorly differentiated, but chemometric techniques have clarified the relationships between the 22 genotypes, and allowed us to understand their resistance to D. citri. The most convincing similarities include the synthesis of (Z)-β-ocimene and (E)-caryophyllene for all 11 genotypes of group A. Genotypes of group B are not uniformly characterized by essential oil compounds. When stimulated with odor sources of 22 genotypes in a Y-tube olfactometer D. citri preferentially entered the arm containing the volatile oils of Murraya paniculata, confirming orange jasmine as its best host. C. reticulata × C. sinensis was the least preferred genotype, and is characterized by the presence of phytol, (Z)-β-ocimene, and β-elemene, which were not found in the most preferred genotype. We speculate that these three compounds may act as a repellent, making these oils less attractive to D. citri.

[Dialectical-behavioral outpatient therapy for adolescents with impulsive and self-harming behavior].

PubMed

Maffezzoni, Marco; Steinhausen, Hans-Christoph

2017-11-01

A slightly modified version of the Dialectical-Behavioral Therapy for Adolescents (DBT-A) for impulsive and self-injurious adolescents has been implemented in the Child and Adolescent Psychiatric Service in Zurich, Switzerland, since 2005. This DBT-A comprises individual therapy, skills training, and a single parent meeting over a 6-month period. This article reports on the translation of this approach into clinical practice and presents an evaluation based on the clinical quality of control assessments. Participants of the treatment program were 43 female adolescents aged 14 to 19 living in the Zurich area and showing impulsive and self-injurious behavior and problems regulating their emotions and relationships. Each skill group contained 4-6 adolescents. Our mostly positive experiences with this approach were supplemented by evaluation data from a quality control group based on self- and parent-report of a total of 19 participants. There is convincing evidence that DBT-A leads to reductions in both general and specific psychopathology.

Clinical management outcomes of childhood glaucoma suspects.

PubMed

Greenberg, Matthew B; Osigian, Carla J; Cavuoto, Kara M; Chang, Ta C

2017-01-01

To investigate the outcomes of childhood glaucoma suspects. Retrospective case series. Records of childhood glaucoma suspects were identified using financial claims data; medical history, baseline biometric and exam findings were recorded. Conversion from suspect to glaucoma was determined based on the Childhood Glaucoma Research Network criteria. The study adheres to the tenets of the Declarations of Helsinki. 214 subjects were enrolled, with median age at initial presentation of 6.37 years (interquartertile range: Q1 = 2.46, Q3 = 8.90). 22 (10.2%) subjects developed glaucoma, 64 (29.9%) had ocular hypertension but no glaucoma, 9 (4.2%) had high-risk condition or syndrome without either ocular hypertension or glaucoma after a mean follow up of 39 +/- 34 months. Neither a family history of glaucoma nor patient gender was significantly different between the groups. 40.2% of subjects (86 of 214) had two or more episodes of intraocular pressure (IOP) > 21 mmHg, among which 25.6% (22 of 86) developed glaucoma after a mean duration of 32.8 +/- 33.5 months. Up to 25% of children with 2 or more episodes of elevated IOP may develop glaucoma. In 50% of suspects who converted to glaucoma, elevated IOP was not present at the initial evaluation. There is no significant difference in gender, family history, or baseline central corneal thickness between suspects who developed glaucoma compared to the rest. While suspects who converted to glaucoma had higher average, maximum and minimum IOP measurements, there is no clear cutoff between the groups.

Work conditions and socioeconomic inequalities in work ability.

PubMed

Aittomäki, Akseli; Lahelma, Eero; Roos, Eva

2003-04-01

The objective of this study was to investigate socioeconomic inequalities in work ability among municipal employees and the contribution of work conditions to these inequalities. The subjects were employees of the City of Helsinki and were all over 40 years of age. Data (N=1,827) were collected in the age-group-based medical check-ups by occupational health personnel. Work ability was measured with a work ability index. The association between the work ability index with socioeconomic status was examined by fitting logistic regression models. There was a consistent gradient in work ability, lower socioeconomic groups having poorer work ability. Adjusting for physical stress accounted for a substantial part of the socioeconomic inequalities. Adjusting for possibilities for influence and development at work accounted for some of the difference between white-collar and blue-collar employees, but not for differences between the white-collar subgroups among the women. Mental stress and problems in the social environment were not clearly associated with the inequalities. Socioeconomic inequalities in work ability among municipal employees correspond to the inequalities in ill health found in general populations. Physical stress at work explained a large part of the inequality. Poor possibilities to influence one's work contributed to the excess of lowered work ability among the blue-collar employees, but not to the inequalities between white-collar subgroups of women. Apart from physical workload, work conditions did not explain socioeconomic inequalities between white-collar subgroups of women.

More than A to B: Understanding and managing visitor spatial behaviour in urban forests using public participation GIS.

PubMed

Korpilo, Silviya; Virtanen, Tarmo; Saukkonen, Tiina; Lehvävirta, Susanna

2018-02-01

Planning and management needs up-to-date, easily-obtainable and accurate information on the spatial and social aspects of visitor behaviour in order to balance human use and impacts, and protection of natural resources in public parks. We used a web-based public participation GIS (PPGIS) approach to gather citizen data on visitor behaviour in Helsinki's Central Park in order to aid collaborative spatial decision-making. The study combined smartphone GPS tracking, route drawing and a questionnaire to examine differences between user groups in their use of formal trails, off-trail behaviour and the motivations that affect it. In our sample (n = 233), different activity types were associated with distinctive spatial patterns and potential extent of impacts. The density mapping and statistical analyses indicated three types of behaviour: predominantly on or close to formal trails (runners and cyclists), spatially concentrated off-trail behaviour confined to a few informal paths (mountain bikers), and dispersed off-trail use pattern (walkers and dog walkers). Across all user groups, off-trail behaviour was mainly motivated by positive attraction towards the environment such as scenic view, exploration, and viewing flora and fauna. Study findings lead to several management recommendations that were presented to city officials. These include reducing dispersion and the spatial extent of trampling impacts by encouraging use of a limited number of well-established informal paths away from sensitive vegetation and protected habitats. Copyright © 2017 Elsevier Ltd. All rights reserved.

Clinical use of fungal PCR from deep tissue samples in the diagnosis of invasive fungal diseases: a retrospective observational study.

PubMed

Ala-Houhala, M; Koukila-Kähkölä, P; Antikainen, J; Valve, J; Kirveskari, J; Anttila, V-J

2018-03-01

To assess the clinical use of panfungal PCR for diagnosis of invasive fungal diseases (IFDs). We focused on the deep tissue samples. We first described the design of panfungal PCR, which is in clinical use at Helsinki University Hospital. Next we retrospectively evaluated the results of 307 fungal PCR tests performed from 2013 to 2015. Samples were taken from normally sterile tissues and fluids. The patient population was nonselected. We classified the likelihood of IFD according to the criteria of the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG), comparing the fungal PCR results to the likelihood of IFD along with culture and microscopy results. There were 48 positive (16%) and 259 negative (84%) PCR results. The sensitivity and specificity of PCR for diagnosing IFDs were 60.5% and 91.7%, respectively, while the negative predictive value and positive predictive value were 93.4% and 54.2%, respectively. The concordance between the PCR and the culture results was 86% and 87% between PCR and microscopy, respectively. Of the 48 patients with positive PCR results, 23 had a proven or probable IFD. Fungal PCR can be useful for diagnosing IFDs in deep tissue samples. It is beneficial to combine fungal PCR with culture and microscopy. Copyright © 2017 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Leisure-time physical activity and all-cause mortality.

PubMed

Lahti, Jouni; Holstila, Ansku; Lahelma, Eero; Rahkonen, Ossi

2014-01-01

Physical inactivity is a major public health problem associated with increased mortality risk. It is, however, poorly understood whether vigorous physical activity is more beneficial for reducing mortality risk than activities of lower intensity. The aim of this study was to examine associations of the intensity and volume of leisure-time physical activity with all-cause mortality among middle-aged women and men while considering sociodemographic and health related factors as covariates. Questionnaire survey data collected in 2000-02 among 40-60-year-old employees of the City of Helsinki (N = 8960) were linked with register data on mortality (74% gave permission to the linkage) providing a mean follow-up time of 12-years. The analysis included 6429 respondents (79% women). The participants were classified into three groups according to intensity of physical activity: low moderate, high moderate and vigorous. The volume of physical activity was classified into three groups according to tertiles. Cox regression analysis was used to calculate hazard ratios (HR) and 95% confidence intervals (CIs) for all-cause mortality. During the follow up 205 participants died. Leisure-time physical activity was associated with reduced risk of mortality. After adjusting for covariates the vigorous group (HR = 0.54, 95% CI 0.34-0.86) showed a reduced risk of mortality compared with the low moderate group whereas for the high moderate group the reductions in mortality risk (HR = 0.72, 95% CI 0.48-1.08) were less clear. Adjusting for the volume of physical activity did not affect the point estimates. Higher volume of leisure-time physical activity was also associated with reduced mortality risk; however, adjusting for the covariates and the intensity of physical activity explained the differences. For healthy middle-aged women and men who engage in some physical activity vigorous exercise may provide further health benefits preventing premature deaths.

Induced abortion as a public health problem in Europe.

PubMed

1973-12-01

The complex and multiple aspects of induced abortion are reflected in the report of a working group on induced abortion as a public health problem which was convened in Helsinki by the WHO Regional Office for Europe in April 1971. Wide variations exist in legislaion on abortion in the countries of western and southern Europe, those of eastern Europe, and those of northern Europe. Except for Romania, the numerical relationship between induced abortion and fertility is not known. The frequency of induced abortion in married women suggests that it is used in some countries for the desired spacing of children. The group noted that the decrease in fertility in Europe has been chiefly achieved by means of coitus interruptus and abortion. Over the period 1957-1959, the reported number of legally induced abortions increased in many European countries. Information from 4 European countries on the number of legally induced abortions showed that the highest rates were found in the age-group 20-34. While in most countries the number of abortions is highest in the age group 20-34, the number of legally induced abortions per 1000 live births increases with the age of the woman, the highest ratios being found in women over 35 years of age. The legal and administrative situation, the ethnic structure, religion, the extent of industrialization, and urbanization, educational resources, and the availability of medical and social services influence the abortion behavior of the community. Conflicts between individuals' needs and society's needs must be resolved. In the view of the group, the most efficient and the safest means of preventing unwanted births is by contraception or by legal abortion carried out by doctors in the hospital. Education for responsible parenthood is essential if contraception is to be fully exploited and the use of legally induced abortion reduced to a minimum.

Transcanalicular Laser-Assisted Dacryocystorhinostomy With Endonasal Augmentation in Primary Nasolacrimal Duct Obstruction: Our Experience.

PubMed

Goel, Ruchi; Nagpal, Smriti; Kumar, Sushil; Meher, Ravi; Kamal, Saurabh; Garg, Sonam

To evaluate and compare the success rate of transcanalicular laser-assisted dacryocystorhinostomy with endonasal augmentation, with and without intubation, in patients suffering from primary acquired nasolacrimal duct obstruction, at 1 year of follow up. A prospective, randomized interventional pilot study was conducted at a tertiary care center, in accordance with the guidelines of Declaration of Helsinki. Sixty eyes of 60 adult patients with primary acquired nasolacrimal duct obstruction were included. The participants were divided randomly into 2 equal groups (A and B-without and with bicanalicular intubation, respectively). An osteotomy was first created using 980 nm diode laser (set at 8W continuous mode) transcanalicularly and then enlarged intranasally using Blakesley's nasal forceps, followed by bicanalicular silicon intubation in group B patients. The tubes were removed at the end of 8 weeks. The ostium size was assessed endoscopically at 8 weeks and again at the end of follow up, at 1 year. A successful outcome was defined in terms of ostium patency at the end of 1 year. The results were analyzed at the end of a follow up of 1 year, using various statistical tests (p < 0.05). The mean age of the patients was 35.3 ± 15.89 years, with 23 male and 37 female patients, the 2 groups having a similar male:female ratio. An overall success rate of 90% was achieved at the end of 1 year with no statistically significant difference between the groups. Postoperative complications like tube displacement and punctal, canalicular injury were more in the intubated group. The average osteotomy size was 8.06 ± 5.4 mm at the end of 1 year. Transcanalicular laser-assisted dacryocysto rhinostomy, with endonasal augmentation, is a scarless, effective, daycare procedure, for treatment of primary acquired nasolacrimal duct obstruction with no additional advantage offered by silicone intubation.

Challenges in randomized controlled trials and emerging multiple sclerosis therapeutics.

PubMed

Huang, DeRen

2015-12-01

The remarkable global development of disease-modifying therapies (DMTs) specific for multiple sclerosis (MS) has significantly reduced the frequency of relapse, slowed the progression of disability, and improved the quality of life in patients with MS. With increasing numbers of approved DMTs, neurologists in North America and Europe are able to present multiple treatment options to their patients to achieve a better therapeutic outcome, and in many cases, no evidence of disease activity. MS patients have improved accessibility to various DMTs at no or minimal out-of-pocket cost. The ethical guidelines defined by the Edinburgh revision of the Declaration of Helsinki strongly discourage the use of placebo control groups in modern MS clinical trials. The use of an active comparator control group increases the number of participants in each group that is essential to achieve statistical significance, thus further increasing the difficulty of completing randomized controlled trials (RCTs) for the development of new MS therapies. There is evidence of a high prevalence of MS and a large number of patients in Asia. The belief of the existence of Asian types of MS that are distinct from Western types, and regulatory policies are among the reasons why DMTs are limited in most Asian countries. Lack of access to approved DMTs provides a good opportunity for clinical trials that are designed for the development of new MS therapies. Recently, data from RCTs have demonstrated excellent recruitment of participants and the completion of multi-nation and single-nation MS trials within this region. Recent studies using the McDonald MS diagnostic criteria carefully excluded patients with neuromyelitis optica (NMO) and NMO spectrum disorder, and demonstrated that patients with MS in Asia have clinical characteristics and treatment responses similar to those in Western countries.

Creatinine and myoglobin are poor predictors of anaerobic threshold in colorectal cancer and health

PubMed Central

Nyasavajjala, Sitaramachandra M; Phillips, Beth E; Lund, Jon N; Williams, John P

2015-01-01

Aims Myoglobin is a haem protein produced in skeletal muscles. Serum concentrations of myoglobin have been proposed as a surrogate marker of muscle mass and function in both cachectic cancer patients and healthy non-cancer individuals. Creatinine, a metabolite of creatine phosphate, an energy store found in skeletal muscle, is produced at a constant rate from skeletal muscle. Urinary and plasma creatinine have been used in clinical practice as indicators of skeletal muscle mass in health and disease. Our study aimed to test the hypothesis that plasma myoglobin and creatinine concentration could accurately predict skeletal muscle mass and aerobic capacity in colorectal cancer (CRC) patients and matched healthy controls and thereby an indicative of aerobic performance. Methods We recruited 47 patients with CRC and matching number of healthy volunteers for this study. All participants had their body composition measured by dual-energy X-ray absorptiometry scan, aerobic capacity measured to anaerobic threshold (AT) by cardiopulmonary exercise testing and filled in objective questionnaires to assess the qualitative functions. This study was carried out in accordance with the Declaration of Helsinki, after approval by the local National Health Service (NHS) Research Ethics Committee. Results Age-matched groups had similar serum myoglobin and creatinine concentrations in spite of differences in their aerobic capacity. AT was significantly lower in the CRC group compared with matched controls (1.18 ± 0.44 vs. 1.41 ± 0.71 L/min; P < 0.01). AT had significant correlation with lean muscle mass (LMM) among these groups, but myoglobin and creatinine had poor correlation with LMM and AT. Conclusions Serum myoglobin is a poor predictor of muscle mass, and serum myoglobin and creatinine concentrations do not predict aerobic performance in CRC patients or healthy matched controls. PMID:26136188

Does digitalis work in chronic heart failure? The end of a 200-year-old controversy.

PubMed

Packer, M

1989-01-01

Controlled trials using modern methods of assessment in well-defined groups of patients have now convincingly demonstrated that digitalis is an effective and well-tolerated drug in patients with chronic heart failure who have left ventricular systolic dysfunction. These encouraging findings concerning digitalis, however, should not be construed to suggest that the drug should be used alone in the treatment of heart failure. Digitalis cannot adequately control the fluid retention seen in most patients with chronic heart failure; diuretics should be added to maintain sodium balance. Digitalis has not been shown to prolong life in chronic heart failure; converting-enzyme inhibitors should be added to reduce morbidity and mortality. All three drugs should be used together in the management of patients with this disorder.

Diversionary reframing of the Great Lakes Water Quality Agreement.

PubMed

Gilbertson, Michael; Watterson, Andrew E

2007-07-01

The United States and Canadian governments are undertaking a periodic review of the operation and effectiveness of the 1978 Great Lakes Water Quality Agreement through extended public meetings and conference calls. The stated purpose of the Agreement is to restore and maintain the chemical, physical and biological integrity of the waters of the Great Lakes Basin Ecosystem. For a variety of motives, several interest groups have represented the water quality agreement as being instead about maintaining and restoring ecosystem integrity for the entire Great Lakes basin. Through analysis of social, economic, political and diplomatic discourses, we have discovered and described these motives. The scientific evidence of continuing injury to health and property from trans-boundary pollution convinces us that this reframing is an unwarranted diversion from the original intent.

Extracorporeal shock wave treatment for chronic lateral epicondylitis (tennis elbow).

PubMed

Ho, C

2007-01-01

(1) Electrohydraulic, electromagnetic, or piezoelectric devices are used to translate energy into acoustic waves during extracorporeal shock wave treatment (ESWT) for chronic lateral epicondylitis (CLE) of the elbow (elbow tendonitis or tennis elbow). These waves may help to accelerate the healing process via an unknown mechanism. (2) Results from randomized controlled trials have been conflicting. Half of the studies showed statistically significant improvement in pain in the treatment group, and half of the studies had data showing no benefit over placebo for any measured outcomes. (3) Limited evidence shows that ESWT is cheaper than arthroscopic surgery, open surgery, and other conservative therapies, such as steroid infiltrations and physiotherapy, that continue for more than six weeks. (4) The lack of convincing evidence regarding its effectiveness does not support the use of ESWT for CLE.

An Update on Binary Formation by Rotational Fission

NASA Astrophysics Data System (ADS)

Tohline, Joel E.; Durisen, Richard H.

During the 1980s, numerical simulations showed that dynamic growth of a barlike mode in initially axisymmetric, equilibrium protostars does not lead to prompt binary formation, i. e., fission. Instead, such evolutions usually produce a dynamically stable, spinning barlike configuration. In recent years, this result has been confirmed by numerous groups using a variety of different hydrodynamical tools, and stability analyses have convincingly shown that fission does not occur in such systems because gravitational torques cause nonlinear saturation of the mode amplitude. Other possible routes to fission have been much less well scrutinized because they rely upon a detailed understanding of the structure and stability of initially nonaxisymmetric structures and/or evolutions that are driven by secular, rather than dynamic processes. Efforts are underway to examine these other fission scenarios.

Muscle preservation in long duration space missions: The eccentric factor

NASA Technical Reports Server (NTRS)

Buchanan, Paul; Dudley, Gary A.; Tesch, Per A.; Hather, Bruce M.

1990-01-01

In our quest to understand, and eventually prevent, the loss of muscle strength and mass that occurs during prolonged periods in microgravity, we have organized our research approach by systems and useful terrestrial analogs. Our hypothesis was that: The eccentric movement, or lengthening component, of dynamic, resistive exercise, is required for the production of the greatest gains in strength and muscle hypertrophy in the most metabolically efficient, and time effective manner. The exercises selected were leg presses, leg (knee) extensions, and hamstring curls. In this 30 week study, 38 male subjects, between the ages of 25 and 50, were divided into four groups. One group performed 5 sets of 8-12 repetitions per set of conventional concentric/eccentric (CON/ECC) exercises. Another group performed only the concentric (CON) movement on the same schedule. The third group performed twice the number of sets in the concentric only mode (CON/CON), and the last group served as controls. We interpret these data as convincing evidence that the eccentric component of heavy resistance training is required along with the concentric for the most effective increase in strength and muscle fiber size in the least time. We also conclude that such heavy exercise of any such muscle group need not consume inordinately long periods of time, and is quite satisfactorily effective when performed on 72 hour centers.

Starting participation in an employee fitness program: attitudes, social influence, and self-efficacy.

PubMed

Lechner, L; De Vries, H

1995-11-01

This article presents a study of the determinants of starting participation in an employee fitness program. Information from 488 employees, recruited from two worksites, was obtained. From these employees the determinants of participation were studied. A questionnaire based on two theoretical models was used. The Stages of Change model was used to measure the health behavior, consisting of precontemplation (no intention to participate), contemplation (considering participation), preparation (intending to participate within a short period), and action (participating in fitness). The possible determinants were measured according to the ASE model, including the attitude toward an employee fitness program, social influence, and self-efficacy expectations. Subjects in action stage were most convinced of the benefits of participation in the employee fitness program and of their own skills to participate in a fitness program. Subjects in precontemplation stage were least convinced of the advantages of participation and had the lowest self-efficacy scores. Subjects in action stage experienced the most social support to participate in the employee fitness program. Health education for employees within industrial fitness programs can be tailored toward their motivational stage. Promotional activities for industrial fitness programs should concentrate on persons in the precontemplation and contemplation stages, since people in these stages are insufficiently convinced of the advantages of a fitness program and expect many problems with regard to their ability to participate in the program.

[Detection of CRISPR and its relationship to drug resistance in Shigella].

PubMed

Wang, Linlin; Wang, Yingfang; Duan, Guangcai; Xue, Zerun; Guo, Xiangjiao; Wang, Pengfei; Xi, Yuanlin; Yang, Haiyan

2015-04-04

To detect clustered regularly interspaced short palindromic repeats (CRISPR) in Shigella, and to analyze its relationship to drug resistance. Four pairs of primers were used for the detection of convincing CRISPR structures CRISPR-S2 and CRISPR-S4, questionable CRISPR structures CRISPR-S1 and CRISPR-S3 in 60 Shigella strains. All primers were designed using sequences in CRISPR database. CRISPR Finder was used to analyze CRISPR and susceptibilities of Shigella strains were tested by agar diffusion method. Furthermore, we analyzed the relationship between drug resistance and CRISPR-S4. The positive rate of convincing CRISPR structures was 95%. The four CRISPR loci formed 12 spectral patterns (A-L), all of which contained convincing CRISPR structures except type K. We found one new repeat and 12 new spacers. The multi-drug resistance rate was 53. 33% . We found no significant difference between CRISPR-S4 and drug resistant. However, the repeat sequence of CRISPR-S4 in multi- or TE-resistance strains was mainly R4.1 with AC deletions in the 3' end, and the spacer sequences of CRISPR-S4 in multi-drug resistance strains were mainly Sp5.1, Sp6.1 and Sp7. CRISPR was common in Shigella. Variations df repeat sequences and diversities of spacer sequences might be related to drug resistance in Shigella.

Unhealthy lifestyle and sleep problems as risk factors for increased direct employers' cost of short-term sickness absence.

PubMed

Kanerva, Noora; Pietiläinen, Olli; Lallukka, Tea; Rahkonen, Ossi; Lahti, Jouni

2018-03-01

Objectives Unhealthy lifestyle (eg, smoking) as well as sleep problems are associated with increased risk of sickness absence, but the financial impact of these associations beyond risk ratios is not well known. We aimed to estimate the additive contribution of lifestyle and sleep problems (risk factors) to direct costs of short-term (<15 days) sickness absence. Methods The Helsinki Health Study is a longitudinal cohort of employees of the City of Helsinki, Finland (N=8960, response rate 67%). During 2000-2002 the participants were mailed a survey questionnaire that gathered information on their lifestyle and sleep. A sum of the risk factors was calculated: participants received one point for being a smoker; high alcohol user (>7 servings/week for women and >14 servings/week for men); physically inactive [<14 metabolic equivalents (MET) hours/week]; having low fruit and vegetable consumption (<1 times/day); or suffering from frequent insomnia symptoms. Sickness absence, salary, and time of employment were followed through the employer's register between 2002-2016. Individual salary data were used to calculate the direct costs of short-term sickness absence. Data were analyzed using a two-part model. Results Direct costs of short-term sickness absences were on average €9057 (standard deviation €11 858) per employee over the follow-up. Those with ≥3 risk factors had €3266 [95% confidence interval (95% CI) €2114-4417] higher direct costs for the employer over the follow-up compared to those without any risk factors. Conclusions Unhealthy lifestyle and sleep problems may increase the costs of short-term sickness absence to the employer by 10-30%. Consequently, programs addressing lifestyle and sleep may yield to significant savings.

Paradoxical dissociation between hepatic fat content and de novo lipogenesis due to PNPLA3 sequence variant.

PubMed

Mancina, Rosellina M; Matikainen, Niina; Maglio, Cristina; Söderlund, Sanni; Lundbom, Nina; Hakkarainen, Antti; Rametta, Raffaela; Mozzi, Enrico; Fargion, Silvia; Valenti, Luca; Romeo, Stefano; Taskinen, Marja-Riitta; Borén, Jan

2015-05-01

Nonalcoholic fatty liver disease (NAFLD) is an emerging epidemic disease characterized by increased hepatic fat, due to an imbalance between synthesis and removal of hepatic lipids. In particular, increased hepatic de novo lipogenesis (DNL) is a key feature associated with NAFLD. The genetic variations I148M in PNPLA3 and E167K in TM6SF2 confer susceptibility to NAFLD. Here we aimed to investigate the contribution of DNL to liver fat accumulation in the PNPLA3 I148M or TM6SF2 E167K genetic determinants of NAFLD. The PNPLA3 I148M and TM6SF2 E167K were genotyped in two well-characterized cohorts of Europeans. In the first cohort (Helsinki cohort; n = 88), we directly quantified hepatic DNL using deuterated water. In the second cohort (Milan cohort; n = 63), we quantified the hepatic expression of SREBP1c that we have found previously associated with increased fat content. Liver fat was measured by magnetic resonance proton spectroscopy in the Helsinki cohort, and by histological assessment of liver biopsies in the Milan cohort. PNPLA3 148M was associated with lower DNL and expression of the lipogenic transcription factor SREBP1c despite substantial increased hepatic fat content. Our data show a paradoxical dissociation between hepatic DNL and hepatic fat content due to the PNPLA3 148M allele indicating that increased DNL is not a key feature in all individuals with hepatic steatosis, and reinforces the contribution of decreased mobilization of hepatic triglycerides for hepatic lipid accumulation in subject with the PNPLA3 148M allele.

Particulates and noise exposure during bicycle, bus and car commuting: A study in three European cities.

PubMed

Okokon, Enembe O; Yli-Tuomi, Tarja; Turunen, Anu W; Taimisto, Pekka; Pennanen, Arto; Vouitsis, Ilias; Samaras, Zissis; Voogt, Marita; Keuken, Menno; Lanki, Timo

2017-04-01

In order to curb traffic-related air pollution and its impact on the physical environment, contemporary city commuters are encouraged to shift from private car use to active or public transport modes. However, personal exposures to particulate matter (PM), black carbon and noise during commuting may be substantial. Therefore, studies comparing exposures during recommended modes of transport versus car trips are needed. We measured personal exposure to various-sized particulates, soot, and noise during commuting by bicycle, bus and car in three European cities: Helsinki in Finland, Rotterdam in the Netherlands and Thessaloniki in Greece using portable monitoring devices. We monitored commonly travelled routes in these cities. The total number of one-way trips yielding data on any of the measured parameters were 84, 72, 94 and 69 for bicycle, bus, closed-window car and open-window car modes, respectively. The highest mean PM 2.5 (85µg/m 3 ), PM 10 (131µg/m 3 ), black carbon (10.9µg/m 3 ) and noise (75dBA) levels were recorded on the bus, bus (again), open-window car and bicycle modes, respectively, all in Thessaloniki, PM and soot concentrations were generally higher during biking and taking a bus than during a drive in a a car with closed windows. Ratios of bike:car PM 10 ranged from 1.1 in Thessaloniki to 2.6 in Helsinki, while bus:car ratios ranged from in 1.0 in Rotterdam to 5.6 in Thessaloniki. Higher noise levels were mostly recorded during bicycle rides. Based on our study, active- and public-transport commuters are often at risk of higher air pollution and noise exposure than private car users. This should be taken into account in urban transportation planning. Copyright © 2017 Elsevier Inc. All rights reserved.

Changes in malnutrition and quality of nutritional care among aged residents in all nursing homes and assisted living facilities in Helsinki 2003-2011.

PubMed

Saarela, Riitta K T; Muurinen, Seija; Suominen, Merja H; Savikko, Niina N; Soini, Helena; Pitkälä, Kaisu H

2017-09-01

While nutritional problems have been recognized as common in institutional settings for several decades, less is known about how nutritional care and nutrition has changed in these settings over time. To describe and compare the nutritional problems and nutritional care of residents in all nursing homes (NH) in 2003 and 2011 and residents in all assisted living facilities (ALF) in 2007 and 2011, in Helsinki, Finland. We combined four cross-sectional datasets of (1) residents from all NHs in 2003 (N=1987), (2) residents from all ALFs in 2007 (N=1377), (3) residents from all NHs in 2011 (N=1576) and (4) residents from all ALFs in 2011 (N=1585). All participants at each time point were assessed using identical methods, including the Mini Nutritional Assessment (MNA). The mean age of both samples from 2011 was higher and a larger proportion suffered from dementia, compared to earlier collected samples. A larger proportion of the residents in 2011 were assessed either malnourished or at-risk for malnutrition, according to the MNA, than in 2003 (NH: 93.5% vs. 88.9%, p<0.001) and in 2007 (ALF: 82.1% vs. 78.1%, p=0.007). The use of nutritional, vitamin D and calcium supplements, and snacks between meals was significantly more common in the 2011 residents, compared to the respective earlier samples. In 2011, institutionalized residents were more disabled and more prone to malnourishment than in 2003 or 2007. Institutions do seem to be more aware of good nutritional care for vulnerable older people, although there is still room for improvement. Copyright © 2017 Elsevier B.V. All rights reserved.

Intercomparison of air quality data using principal component analysis, and forecasting of PM₁₀ and PM₂.₅ concentrations using artificial neural networks, in Thessaloniki and Helsinki.

PubMed

Voukantsis, Dimitris; Karatzas, Kostas; Kukkonen, Jaakko; Räsänen, Teemu; Karppinen, Ari; Kolehmainen, Mikko

2011-03-01

In this paper we propose a methodology consisting of specific computational intelligence methods, i.e. principal component analysis and artificial neural networks, in order to inter-compare air quality and meteorological data, and to forecast the concentration levels for environmental parameters of interest (air pollutants). We demonstrate these methods to data monitored in the urban areas of Thessaloniki and Helsinki in Greece and Finland, respectively. For this purpose, we applied the principal component analysis method in order to inter-compare the patterns of air pollution in the two selected cities. Then, we proceeded with the development of air quality forecasting models for both studied areas. On this basis, we formulated and employed a novel hybrid scheme in the selection process of input variables for the forecasting models, involving a combination of linear regression and artificial neural networks (multi-layer perceptron) models. The latter ones were used for the forecasting of the daily mean concentrations of PM₁₀ and PM₂.₅ for the next day. Results demonstrated an index of agreement between measured and modelled daily averaged PM₁₀ concentrations, between 0.80 and 0.85, while the kappa index for the forecasting of the daily averaged PM₁₀ concentrations reached 60% for both cities. Compared with previous corresponding studies, these statistical parameters indicate an improved performance of air quality parameters forecasting. It was also found that the performance of the models for the forecasting of the daily mean concentrations of PM₁₀ was not substantially different for both cities, despite the major differences of the two urban environments under consideration. Copyright © 2011 Elsevier B.V. All rights reserved.

The Helsinki Face Transplantation: Surgical aspects and 1-year outcome.

PubMed

Lassus, Patrik; Lindford, Andrew; Vuola, Jyrki; Bäck, Leif; Suominen, Sinikka; Mesimäki, Karri; Wilkman, Tommy; Ylä-Kotola, Tuija; Tukiainen, Erkki; Kuokkanen, Hannu; Törnwall, Jyrki

2018-02-01

Since 2005, at least 38 facial transplantations have been performed worldwide. We herein describe the surgical technique and 1-year clinical outcome in Finland's first face transplant case. A 34-year-old male who had a severe facial deformity following ballistic trauma in 1999 underwent facial transplantation at the Helsinki University Hospital on 8th February 2016. Three-dimensional (3D) technology was used to manufacture donor and recipient patient-specific osteotomy guides and a donor face mask. The facial transplant consisted of a Le Fort II maxilla, central mandible, lower ⅔ of the midface muscles, facial and neck skin, oral mucosa, anterior tongue and floor of mouth muscles, facial nerve (three bilateral branches), and bilateral hypoglossal and buccal nerves. At 1-year follow-up, there have thus far been no clinical or histological signs of rejection. The patient has a good aesthetic outcome with symmetrical restoration of the mobile central part of the face, with recovery of pain and light touch sensation to almost the entire facial skin and intraoral mucosa. Electromyography at 1 year has confirmed symmetrical muscle activity in the floor of the mouth and facial musculature, and the patient is able to produce spontaneous smile. Successful social and psychological outcome has also been observed. Postoperative complications requiring intervention included early (nasopalatinal fistula, submandibular sialocele, temporomandibular joint pain and transient type 2 diabetes) and late (intraoral wound and fungal infection, renal impairment and hypertension) complications. At 1 year, we report an overall good functional outcome in Finland's first face transplant. Copyright © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

A Model for Risk Analysis of Oil Tankers

NASA Astrophysics Data System (ADS)

Montewka, Jakub; Krata, Przemysław; Goerland, Floris; Kujala, Pentti

2010-01-01

The paper presents a model for risk analysis regarding marine traffic, with the emphasis on two types of the most common marine accidents which are: collision and grounding. The focus is on oil tankers as these pose the highest environmental risk. A case study in selected areas of Gulf of Finland in ice free conditions is presented. The model utilizes a well-founded formula for risk calculation, which combines the probability of an unwanted event with its consequences. Thus the model is regarded a block type model, consisting of blocks for the probability of collision and grounding estimation respectively as well as blocks for consequences of an accident modelling. Probability of vessel colliding is assessed by means of a Minimum Distance To Collision (MDTC) based model. The model defines in a novel way the collision zone, using mathematical ship motion model and recognizes traffic flow as a non homogeneous process. The presented calculations address waterways crossing between Helsinki and Tallinn, where dense cross traffic during certain hours is observed. For assessment of a grounding probability, a new approach is proposed, which utilizes a newly developed model, where spatial interactions between objects in different locations are recognized. A ship at a seaway and navigational obstructions may be perceived as interacting objects and their repulsion may be modelled by a sort of deterministic formulation. Risk due to tankers running aground addresses an approach fairway to an oil terminal in Sköldvik, near Helsinki. The consequences of an accident are expressed in monetary terms, and concern costs of an oil spill, based on statistics of compensations claimed from the International Oil Pollution Compensation Funds (IOPC Funds) by parties involved.

Multiple socioeconomic determinants of weight gain: the Helsinki Health Study.

PubMed

Loman, Tina; Lallukka, Tea; Laaksonen, Mikko; Rahkonen, Ossi; Lahelma, Eero

2013-03-22

Socioeconomic differences in weight gain have been found, but several socioeconomic determinants have not been simultaneously studied using a longitudinal design. The aim of this study was to examine multiple socioeconomic determinants of weight gain. Mail surveys were conducted in 2000-2002 among 40 to 60-year old employees of the City of Helsinki, Finland (n = 8,960, response rate 67%). A follow-up survey was conducted among the baseline respondents in 2007 with a mean follow-up of 5 to 7 years (n = 7,332, response rate 83%). The outcome measure was weight gain of 5 kg or more over the follow-up. Socioeconomic position was measured by parental education, childhood economic difficulties, own education, occupational class, household income, home ownership and current economic difficulties. Multivariable logistic regression models were fitted adjusting simultaneously for all covariates in the final model. Of women 27% and of men 24% gained 5 kg or more in weight over the follow-up. Among women, after adjusting for age, baseline weight and all socioeconomic determinants, those with basic (OR 1.40 95% CI 1.11-1.76) or intermediate education (OR 1.43 95% CI 1.08-1.90), renters (OR 1.18 95% CI 1.03-1.36) and those with occasional (OR 1.19 95% CI 1.03-1.38) or frequent (OR 1.50 95% CI 1.26-1.79) economic difficulties had increased risk of weight gain. Among men, after full adjustment, having current frequent economic difficulties (OR 1.70 95% CI 1.15-2.49) remained associated with weight gain. Current economic difficulties among both women and men, and among women low education and renting, were associated with weight gain. Prevention of weight gain among ageing people would benefit from focusing in particular on those with economic difficulties.

Electromagnetic and Light Scattering by Nonspherical Particles XV: Celebrating 150 Years of Maxwell's Electromagnetics

NASA Technical Reports Server (NTRS)

Macke, Andreas; Mishchenko, Michael I.

2015-01-01

The 15th Electromagnetic and Light Scattering Conference (ELS-XV) was held in Leipzig, Germany from 21 to 26 of June 2015. This conference built on the great success of the previous meetings held in Amsterdam (1995), Helsinki(1997) [2], New York City(1998) [3], Vigo (1999),Halifax (2000), Gainesville (2002), Bremen (2003), Salobreña (2005), St. Petersburg (2006), Bodrum (2007), Hatfield (2008), Helsinki (2010), Taormina (2011), and Lille as well as the workshops held in Bremen (1996,1998) and Moscow (1997). As usual, the main objective of this conference was to bring together scientists, engineers, and PhD students studying various aspects of electromagnetic scattering and to provide a relaxed atmosphere for in-depth discussion of theory, measurements, and applications. Furthermore, ELS-XV supported the United Nations "Year of Light" and celebrated the150th anniversary of Maxwell's electromagnetics. Maxwell's paper on "A Dynamical Theory of the Electromagnetic Field" was published in1865 and has widely been acknowledged as one of the supreme achievements in the history of science. The conference was attended by136 scientists from 22 countries. The scientific program included two plenary lectures, 16 invited reviews, 88 contributed oral talks, and 70 poster presentations. The program and the abstracts of conference presentations are available at the conference website http://www.els-xv-2015.net/home.html. Following the well-established ELS practice and with Elsevier's encouragement, we solicited full-size papers for a topical issue of the Journal of Quantitative Spectroscopy and Radiative Transfer (JQSRT). The result of this collective effort is now in the reader's hands. As always, every invited review and regular paper included in this topical issue has undergone the same rigorous peer review process as any other manuscript published in the JQSRT.

Obesity and socioeconomic disadvantage in midlife female public sector employees: a cohort study.

PubMed

Hiilamo, Aapo; Lallukka, Tea; Mänty, Minna; Kouvonen, Anne

2017-10-24

The two-way relationship between obesity and socioeconomic disadvantage is well established but previous studies on social and economic consequences of obesity have primarily focused on relatively young study populations. We examined whether obesity is associated with socioeconomic disadvantage through the 10-12-year follow-up, and how obesity-related socioeconomic inequalities develop during midlife among women. Baseline data were derived from the female population of the Helsinki Health Study cohort, comprising 40-60 -year-old employees of the City of Helsinki, Finland in 2000-2002 (n = 6913, response rate 69%). The follow-up surveys were carried out in 2007 (n = 5810) and 2012 (n = 5400). Socioeconomic disadvantage was measured by five dichotomous measures. Repeated logistic regression analyses utilising generalized estimating equations (GEE) were used to test the association between baseline self-reported obesity and the likelihood of socioeconomic disadvantage through all phases. The effect of time on the development of inequalities was examined by time interaction terms in random effect logistic regression models. After adjustment for educational level, baseline obesity was associated with repeated poverty (OR = 1.23; 95% CI; 1.05-1.44), frequent economic difficulties (OR = 1.74; 95% CI; 1.52-1.99), low household net income (OR = 1.23; 95% CI; 1.07-1.41), low household wealth (OR = 1.90; 95% CI; 1.59-2.26) and low personal income (OR = 1.22; 95% CI; 1.03-1.44). The differences in poverty rate and low personal income between the participants with obesity and participants with normal weight widened during the follow-up. Living without a partner and early exit from paid employment explained the widening of inequalities. Weight status inequalities in socioeconomic disadvantage persisted or widened during the late adulthood.

Paediatric eye injuries in Finland - Helsinki eye trauma study.

PubMed

Haavisto, Anna-Kaisa; Sahraravand, Ahmad; Holopainen, Juha M; Leivo, Tiina

2017-06-01

To determine the current population-based epidemiology, treatment, use of resources and outcomes of children's eye injuries in Finland. The study included all new patients, 16 years of age or under, with ocular or orbital traumas taken into care to the Helsinki University Eye Hospital (population base 1.5 million people) in 1 year. The follow-up period was 3 months. Two hundred and two children's eye injuries were treated. The eye injury incidence was 5.2-8.3 per 10 000 per year, including all minor and major eye traumas. Eye injury most likely occurred at the junior high school age (13-16 years). Thirty-three percentage of accidents took place at home and 24% at school or in day care. The most common causes were sports equipment (15%), contact with human body (12%) and superficial foreign bodies (11%). Excluding minor injuries, contusion was the most common diagnosis (n = 60, 30%). Eighty-seven percentage of contusion patients were estimated to need lifelong follow-up due to elevated glaucoma risk. Nine percentage of all patients had a permanent disability. Guns, fireworks, tools and pellet guns were relatively the most dangerous objects. Pellet guns caused 6% of eye injuries, 36% of them causing permanent impairment. The number of outpatient visits was altogether 443, inpatient days were 49, and 60 children had major surgeries. Use of protective eyewear would have prevented or diminished eye traumas caused by pellet gun, floorball, most of the firework and in many superficial foreign body. The use of pellet guns and protective eyewear should be more supervised. Fireworks and tools are not suitable toys for children. © 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Young adults with very low birth weight: leaving the parental home and sexual relationships--Helsinki Study of Very Low Birth Weight Adults.

PubMed

Kajantie, Eero; Hovi, Petteri; Räikkönen, Katri; Pesonen, Anu-Katriina; Heinonen, Kati; Järvenpää, Anna-Liisa; Eriksson, Johan G; Strang-Karlsson, Sonja; Andersson, Sture

2008-07-01

Although most children and adults who are born very preterm live healthy lives, they have, on average, lower cognitive scores, more internalizing behaviors, and deficits in social skills. This could well affect their transition to adulthood. We studied the tempo of first leaving the parental home and starting cohabitation with an intimate partner and sexual experience of young adults with very low birth weight (<1500 g). In conjunction with the Helsinki Study of Very Low Birth Weight Adults, 162 very low birth weight individuals and 188 individuals who were born at term (mean age: 22.3 years [range: 18.5-27.1]) and did not have any major disability filled out a questionnaire. For analysis of their ages at events which had not occurred in all subjects, we used survival analysis (Cox regression), adjusted for gender, current height, parents' ages at the birth, maternal smoking during pregnancy, parental educational attainment, number of siblings, and parental divorce/death. During their late teens and early adulthood, these very low birth weight adults were less likely to leave the parental home and to start cohabiting with an intimate partner. In gender-stratified analyses, these hazard ratios were similar between genders, but the latter was statistically significant for women only. These very low birth weight adults were also less likely to experience sexual intercourse. This relationship was statistically significant for women but not for men; however, very low birth weight women and men both reported a smaller lifetime number of sex partners than did control subjects. Healthy young adults with very low birth weight show a delay in leaving the parental home and starting sexual activity and partnerships.

OpenFIRE - A Web GIS Service for Distributing the Finnish Reflection Experiment Datasets

NASA Astrophysics Data System (ADS)

Väkevä, Sakari; Aalto, Aleksi; Heinonen, Aku; Heikkinen, Pekka; Korja, Annakaisa

2017-04-01

The Finnish Reflection Experiment (FIRE) is a land-based deep seismic reflection survey conducted between 2001 and 2003 by a research consortium of the Universities of Helsinki and Oulu, the Geological Survey of Finland, and a Russian state-owned enterprise SpetsGeofysika. The dataset consists of 2100 kilometers of high-resolution profiles across the Archaean and Proterozoic nuclei of the Fennoscandian Shield. Although FIRE data have been available on request since 2009, the data have remained underused outside the original research consortium. The original FIRE data have been quality-controlled. The shot gathers have been cross-checked and comprehensive errata has been created. The brute stacks provided by the Russian seismic contractor have been reprocessed into seismic sections and replotted. A complete documentation of the intermediate processing steps is provided together with guidelines for setting up a computing environment and plotting the data. An open access web service "OpenFIRE" for the visualization and the downloading of FIRE data has been created. The service includes a mobile-responsive map application capable of enriching seismic sections with data from other sources such as open data from the National Land Survey and the Geological Survey of Finland. The AVAA team of the Finnish Open Science and Research Initiative has provided a tailored Liferay portal with necessary web components such as an API (Application Programming Interface) for download requests. INSPIRE (Infrastructure for Spatial Information in Europe) -compliant discovery metadata have been produced and geospatial data will be exposed as Open Geospatial Consortium standard services. The technical guidelines of the European Plate Observing System have been followed and the service could be considered as a reference application for sharing reflection seismic data. The OpenFIRE web service is available at www.seismo.helsinki.fi/openfire

Characterization of three new condensation particle counters for sub-3 nm particle detection during the Helsinki CPC workshop: the ADI versatile water CPC, TSI 3777 nano enhancer and boosted TSI 3010

NASA Astrophysics Data System (ADS)

Kangasluoma, Juha; Hering, Susanne; Picard, David; Lewis, Gregory; Enroth, Joonas; Korhonen, Frans; Kulmala, Markku; Sellegri, Karine; Attoui, Michel; Petäjä, Tuukka

2017-06-01

In this study we characterized the performance of three new particle counters able to detect particles smaller than 3 nm during the Helsinki condensation particle counter (CPC) workshop in summer 2016: the Aerosol Dynamics Inc. (ADI; Berkeley, USA) versatile water condensation particle counter (vWCPC), TSI 3777 nano enhancer (TSI Inc., Shoreview, USA) and modified and boosted TSI 3010-type CPC from Université Blaise Pascal called a B3010. The performance of all CPCs was first measured with charged tungsten oxide test particles at temperature settings which resulted in supersaturation low enough to not detect any ions produced by a radioactive source. Due to similar measured detection efficiencies, additional comparison between the 3777 and vWCPC were conducted using electrically neutral tungsten oxide test particles and with positively charged tetradodecylammonium bromide. Furthermore, the detection efficiencies of the 3777 and vWCPC were measured with boosted temperature settings yielding supersaturation which was at the onset of homogeneous nucleation for the 3777 or confined within the range of liquid water for the ADI vWCPC. Finally, CPC-specific tests were conducted to probe the response of the 3777 to various inlet flow relative humidities, of the B3010 to various inlet flow rates and of the vWCPC to various particle concentrations. For the 3777 and vWCPC the measured 50 % detection diameters (d50s) were in the range of 1.3-2.4 nm for the tungsten oxide particles, depending on the particle charging state and CPC temperature settings, between 2.5 and 3.3 nm for the organic test aerosol, and in the range of 3.2-3.4 nm for tungsten oxide for the B3010.

Decreased Bone Mineral Density in Adults Born with Very Low Birth Weight: A Cohort Study

PubMed Central

Hovi, Petteri; Andersson, Sture; Järvenpää, Anna-Liisa; Eriksson, Johan G.; Strang-Karlsson, Sonja; Kajantie, Eero; Mäkitie, Outi

2009-01-01

Background Very-low-birth-weight (VLBW, <1,500 g) infants have compromised bone mass accrual during childhood, but it is unclear whether this results in subnormal peak bone mass and increased risk of impaired skeletal health in adulthood. We hypothesized that VLBW is associated with reduced bone mineral density (BMD) in adulthood. Methods and Findings The Helsinki Study of Very Low Birth Weight Adults is a multidisciplinary cohort study representative of all VLBW births within the larger Helsinki area from 1978 to 1985. This study evaluated skeletal health in 144 such participants (all born preterm, mean gestational age 29.3 wk, birth weight 1,127 g, birth weight Z score 1.3), and in 139 comparison participants born at term, matched for sex, age, and birth hospital. BMD was measured by dual energy X-ray absorptiometry at age 18.5 to 27.1 y. Adults born with VLBW had, in comparison to participants born at term, a 0.51-unit (95% confidence interval [CI] 0.28–0.75) lower lumbar spine Z score and a 0.56-unit (95% CI 0.34–0.78) lower femoral neck Z score for areal BMD. These differences remained statistically significant after adjustment for the VLBW adults' shorter height and lower self-reported exercise intensity. Conclusions Young adults born with VLBW, when studied close to the age of peak bone mass, have significantly lower BMD than do their term-born peers. This suggests that compromised childhood bone mass accrual in preterm VLBW children translates into increased risk for osteoporosis in adulthood, warranting vigilance in osteoporosis prevention. Please see later in the article for the Editors' Summary PMID:19707270

Separate and combined associations of pain and emotional exhaustion with sickness absence.

PubMed

Saastamoinen, Peppiina; Leino-Arjas, Päivi; Rahkonen, Ossi; Lahelma, Eero

2016-01-01

Pain and emotional exhaustion are prevalent conditions with consequences for sickness absence. Although they often co-occur, their combined associations with sickness absence are poorly understood. This study aimed to examine the separate and combined associations of pain and emotional exhaustion with subsequent sickness absence. The data were derived from a cross-sectional questionnaire survey sent to 40 to 60-year-old employees of the City of Helsinki in 2000 to 2002 (n = 6457) linked with the City of Helsinki personnel register information on sickness absence (3 years on from the survey). Self-certified (1-3 days) and medically certified sickness absence spells (4-14 days, more than 14 days) were used as outcomes. Acute and chronic pain and emotional exhaustion were measured in a questionnaire survey. For the purposes of this study, sickness absence and pain variables were merged to form a new variable with 6 mutually exclusive categories. The main statistical method was negative binomial regression analysis. The synergy index was used to estimate the interaction. Among women, acute and chronic pain with and without emotional exhaustion predicted sickness absence, particularly absence lasting for more than 2 weeks, whereas emotional exhaustion alone did not. The associations persisted when further adjusted for socioeconomic and sociodemographic factors, health-related behaviors, and somatic and mental health. A synergistic interaction effect was found for co-occurring pain and emotional exhaustion on medically certified sickness absence. The results for men were mainly similar, but less stable. In order to tackle sickness absence, special attention should be paid to the prevention and treatment of employees with co-occurring pain and emotional exhaustion.

Workplace bullying and subsequent sleep problems--the Helsinki Health Study.

PubMed

Lallukka, Tea; Rahkonen, Ossi; Lahelma, Eero

2011-05-01

The associations between workplace bullying and subsequent sleep problems are poorly understood. This study aims to address this evidence gap. We used the Helsinki Health Study questionnaire survey data at baseline in 2000-2002 and follow-up in 2007 (N=7332). The 4-item Jenkins sleep questionnaire was used in both surveys. Two measures of workplace bullying asked whether the respondent had (i) reported being bullied and (ii) observed bullying. Logistic regression models were fitted, adjusting for age, childhood bullying, education, working conditions, obesity, common mental disorders, limiting long-standing illness, and baseline sleep problems. At baseline, 5% of women and men reported being currently bullied. Additionally, 9% of women and 7% of men had frequently observed bullying at their workplace. Adjusted for age, reporting bullying was associated with sleep problems at follow-up among women [odds ratio (OR) 1.69, 95% confidence interval (95% CI) 1.30-2.20) and men (OR 3.17, 95% CI 1.85-5.43). Also, reporting earlier bullying was associated with sleep problems among both women (OR 1.47, 95% CI 1.26-1.72) and men (OR 1.58, 95% CI 1.06-2.36). Separate adjustments for covariates had some effects on the associations. After full adjustment for childhood bullying and baseline sociodemographic factors, working conditions, health, and sleep problems, the associations reduced. Similarly, adjusted for age, observing bullying was associated with sleep problems among women (OR 2.00, 95% CI 1.61-2.48) and men (OR 2.04, 95% CI 1.23-3.39). Workplace bullying is associated with sleep problems, but associations attenuate after factors related to the social environment, work, and health are simultaneously taken into account.

Associations of psychosocial working conditions with self-rated general health and mental health among municipal employees.

PubMed

Laaksonen, Mikko; Rahkonen, Ossi; Martikainen, Pekka; Lahelma, Eero

2006-03-01

To examine associations of job demands and job control, procedural and relational organizational fairness, and physical work load with self-rated general health and mental health. In addition, the effect of occupational class on these associations is examined. The data were derived from the Helsinki Health Study baseline surveys in 2001-2002. Respondents to cross-sectional postal surveys were middle-aged employees of the City of Helsinki (n=5.829, response rate 67%). Associations of job demands and job control, organizational fairness and physical work load with less than good self-rated health and poor GHQ-12 mental health were examined. Those with the poorest working conditions two to three times more, often reported poor general and mental health than those with the best working conditions. Adjustment for occupational class weakened the associations of low job control and physical work load with general health by one fifth, but even more strengthened that of high job demands. Adjustment for occupational class clearly strengthened the associations of job control and physical work load with mental health in men. Mutual adjustment for all working conditions notably weakened their associations with both health measures, except those of job control in men. All working conditions except relational organizational fairness remained independently associated with general and mental health. All studied working conditions were strongly associated with both general and mental health but the associations weakened after mutual adjustments. Of the two organizational fairness measures, procedural fairness remained independently associated with both health outcomes. Adjustment for occupational class had essentially different effects on the associations of different working conditions and different health outcomes.

22 CFR 33.8 - Claim procedures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... must be supported by documentary evidence. Foreign language documents must be accompanied by an... there is clear and convincing credible evidence that the seizure did not meet the eligibility standards...

What your mother never told you about ... physics teaching

NASA Astrophysics Data System (ADS)

Roudebush, Deborah

2010-03-01

When I entered high school teaching after working in industry for several years, I was sure I knew exactly what to do. I was convinced that I would be the sage on the stage and would wow the students with my clear explanations, amazing problem-solving techniques, and perfect lab instructions. I was convinced that the students would soak up the wisdom and insight that I was offering and that, if the students just followed my directions exactly, they would be able to solve new and exciting problems. Instead, I found that the students became amazingly adept at applied mathematics and understood few of the underlying physics concepts. In fact, some of my star students who headed off to become physics majors were unprepared for the thought required and changed majors within two years.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Coston, V.A.

There is a great deal of emphasis today on management's commitment to quality. Yet with all the hue and cry about this commitment do we find much more happening than just lip service. Are quality professionals aiding and abetting the nonacceptance of quality organizations, resulting in their exclusion from the management. Quality professionals must recognize they cannot divorce themselves from cost and schedule. They must recognize they are not policemen with omnipotent authority. Self-recognition must occur and be acted upon for changes in attitudes and opinions of others to be affected. There are, of course, other factors involved. But inmore » searching for the root cause of the problem, does the evidence of those other factors again point back to the Quality professionals. Quality is not a dirty word. We must convince ourselves before we can convince others.« less

Do effects of common case-mix adjusters on patient experiences vary across patient groups?

PubMed

de Boer, Dolf; van der Hoek, Lucas; Rademakers, Jany; Delnoij, Diana; van den Berg, Michael

2017-11-22

Many survey studies in health care adjust for demographic characteristics such as age, gender, educational attainment and general health when performing statistical analyses. Whether the effects of these demographic characteristics are consistent between patient groups remains to be determined. This is important as the rationale for adjustment is often that demographic sub-groups differ in their so-called 'response tendency'. This rationale may be less convincing if the effects of response tendencies vary across patient groups. The present paper examines whether the impact of these characteristics on patients' global rating of care varies across patient groups. Secondary analyses using multi-level regression models were performed on a dataset including 32 different patient groups and 145,578 observations. For each demographic variable, the 95% expected range of case-mix coefficients across patient groups is presented. In addition, we report whether the variance of coefficients for demographic variables across patient groups is significant. Overall, men, elderly, lower educated people and people in good health tend to give higher global ratings. However, these effects varied significantly across patient groups and included the possibility of no effect or an opposite effect in some patient groups. The response tendency attributed to demographic characteristics - such as older respondents being milder, or higher educated respondents being more critical - is not general or universal. As such, the mechanism linking demographic characteristics to survey results on patient experiences with quality of care is more complicated than a general response tendency. It is possible that the response tendency interacts with patient group, but it is also possible that other mechanisms are at play.

Cluster-randomized Studies in Educational Research: Principles and Methodological Aspects

PubMed Central

Dreyhaupt, Jens; Mayer, Benjamin; Keis, Oliver; Öchsner, Wolfgang; Muche, Rainer

2017-01-01

An increasing number of studies are being performed in educational research to evaluate new teaching methods and approaches. These studies could be performed more efficiently and deliver more convincing results if they more strictly applied and complied with recognized standards of scientific studies. Such an approach could substantially increase the quality in particular of prospective, two-arm (intervention) studies that aim to compare two different teaching methods. A key standard in such studies is randomization, which can minimize systematic bias in study findings; such bias may result if the two study arms are not structurally equivalent. If possible, educational research studies should also achieve this standard, although this is not yet generally the case. Some difficulties and concerns exist, particularly regarding organizational and methodological aspects. An important point to consider in educational research studies is that usually individuals cannot be randomized, because of the teaching situation, and instead whole groups have to be randomized (so-called “cluster randomization”). Compared with studies with individual randomization, studies with cluster randomization normally require (significantly) larger sample sizes and more complex methods for calculating sample size. Furthermore, cluster-randomized studies require more complex methods for statistical analysis. The consequence of the above is that a competent expert with respective special knowledge needs to be involved in all phases of cluster-randomized studies. Studies to evaluate new teaching methods need to make greater use of randomization in order to achieve scientifically convincing results. Therefore, in this article we describe the general principles of cluster randomization and how to implement these principles, and we also outline practical aspects of using cluster randomization in prospective, two-arm comparative educational research studies. PMID:28584874

Cluster-randomized Studies in Educational Research: Principles and Methodological Aspects.

PubMed

Dreyhaupt, Jens; Mayer, Benjamin; Keis, Oliver; Öchsner, Wolfgang; Muche, Rainer

2017-01-01

An increasing number of studies are being performed in educational research to evaluate new teaching methods and approaches. These studies could be performed more efficiently and deliver more convincing results if they more strictly applied and complied with recognized standards of scientific studies. Such an approach could substantially increase the quality in particular of prospective, two-arm (intervention) studies that aim to compare two different teaching methods. A key standard in such studies is randomization, which can minimize systematic bias in study findings; such bias may result if the two study arms are not structurally equivalent. If possible, educational research studies should also achieve this standard, although this is not yet generally the case. Some difficulties and concerns exist, particularly regarding organizational and methodological aspects. An important point to consider in educational research studies is that usually individuals cannot be randomized, because of the teaching situation, and instead whole groups have to be randomized (so-called "cluster randomization"). Compared with studies with individual randomization, studies with cluster randomization normally require (significantly) larger sample sizes and more complex methods for calculating sample size. Furthermore, cluster-randomized studies require more complex methods for statistical analysis. The consequence of the above is that a competent expert with respective special knowledge needs to be involved in all phases of cluster-randomized studies. Studies to evaluate new teaching methods need to make greater use of randomization in order to achieve scientifically convincing results. Therefore, in this article we describe the general principles of cluster randomization and how to implement these principles, and we also outline practical aspects of using cluster randomization in prospective, two-arm comparative educational research studies.

Expert advice provided through telemedicine improves healing of chronic wounds: prospective cluster controlled study.

PubMed

Zarchi, Kian; Haugaard, Vibeke B; Dufour, Deirdre N; Jemec, Gregor B E

2015-03-01

Telemedicine is widely considered as an efficient approach to manage the growing problem of chronic wounds. However, to date, there is no convincing evidence to support the clinical efficacy of telemedicine in wound management. In this prospective cluster controlled study, we tested the hypothesis that advice on wound management provided by a team of wound-care specialists through telemedicine would significantly improve the likelihood of wound healing compared with the best available conventional practice. A total of 90 chronic wound patients in home care met all study criteria and were included: 50 in the telemedicine group and 40 in the conventional group. Patients with pressure ulcers, surgical wounds, and cancer wounds were excluded. During the 1-year follow-up, complete wound healing was achieved in 35 patients (70%) in the telemedicine group compared with 18 patients (45%) in the conventional group. After adjusting for important covariates, offering advice on wound management through telemedicine was associated with significantly increased healing compared with the best available conventional practice (telemedicine vs. conventional practice: adjusted hazard ratio 2.19; 95% confidence interval: 1.15-4.17; P=0.017). This study strongly supports the use of telemedicine to connect home-care nurses to a team of wound experts in order to improve the management of chronic wounds.

Role of work uniform in alleviating perceptual strain among construction workers.

PubMed

Yang, Yang; Chan, Albert Ping-Chuen

2017-02-07

This study aims to examine the benefits of wearing a new construction work uniform in real-work settings. A field experiment with a randomized assignment of an intervention group to a newly designed uniform and a control group to a commercially available trade uniform was executed. A total of 568 sets of physical, physiological, perceptual, and microclimatological data were obtained. A linear mixed-effects model (LMM) was built to examine the cause-effect relationship between the Perceptual Strain Index (PeSI) and heat stressors including wet bulb globe temperature (WBGT), estimated workload (relative heart rate), exposure time, trade, workplace, and clothing type. An interaction effect between clothing and trade revealed that perceptual strain of workers across four trades was significantly alleviated by 1.6-6.3 units in the intervention group. Additionally, the results of a questionnaire survey on assessing the subjective sensations on the two uniforms indicated that wearing comfort was improved by 1.6-1.8 units when wearing the intervention type. This study not only provides convincing evidences on the benefits of wearing the newly designed work uniform in reducing perceptual strain but also heightens the value of the field experiment in heat stress intervention studies.

Role of work uniform in alleviating perceptual strain among construction workers

PubMed Central

YANG, Yang; CHAN, Albert Ping-chuen

2016-01-01

This study aims to examine the benefits of wearing a new construction work uniform in real-work settings. A field experiment with a randomized assignment of an intervention group to a newly designed uniform and a control group to a commercially available trade uniform was executed. A total of 568 sets of physical, physiological, perceptual, and microclimatological data were obtained. A linear mixed-effects model (LMM) was built to examine the cause-effect relationship between the Perceptual Strain Index (PeSI) and heat stressors including wet bulb globe temperature (WBGT), estimated workload (relative heart rate), exposure time, trade, workplace, and clothing type. An interaction effect between clothing and trade revealed that perceptual strain of workers across four trades was significantly alleviated by 1.6–6.3 units in the intervention group. Additionally, the results of a questionnaire survey on assessing the subjective sensations on the two uniforms indicated that wearing comfort was improved by 1.6–1.8 units when wearing the intervention type. This study not only provides convincing evidences on the benefits of wearing the newly designed work uniform in reducing perceptual strain but also heightens the value of the field experiment in heat stress intervention studies. PMID:27666953

Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity.

PubMed

Tevatia, Siddharth; Khatri, Vivek; Sharma, Nikhil; Dodwad, Vidya

2017-01-01

Dentinal hypersensitivity (DH) is a chronic disorder in which patients report sharp and acute pain to a variety of stimuli. Till date, a standardized procedure to treat DH is missing, though several alternative treatment strategies have been designed, including laser therapies. The aim of the study was to treat DH with minimum chemical concentration and least laser energy level with longer follow-up period. One hundred and twenty patients were randomly divided into four groups: (i) Group 1-5% potassium nitrate (KNO 3 ); (ii) Group 2 - gallium-aluminum-arsenide diode laser (62.2 J/cm 2 , wavelength - 980 nm, noncontact pulse mode, and power wattage - 0.5 W); (iii) Group 3 - combined 5% KNO 3 and the diode laser; and (iv) Group 4 - placebo (control). The visual analog scale (VAS) scores were recorded, analyzed, and compared to tactile stimuli, cold water, and air blast tests at different intervals for 6 weeks. Synergistic use of 5% KNO 3 and diode laser (Group 3) significantly reduced the DH pain, which was almost negligible after 6 th week (97%-99% of the pain was reported to be relieved) and showed promising results than any other studied groups. Further, the diode laser (Group 2) showed better results than 5% KNO 3 (Group 1). One-way ANOVA and Bonferroni correction post hoc test revealed the combination of groups with significant differences in the mean VAS scores at the different interval of time ( P < 0.01). Convincingly, the combined application of 5% KNO 3 with the diode laser can be recommended for treating DH patients.

European Science Notes, volume 40, number 2

NASA Astrophysics Data System (ADS)

Shaffer, L. E.

1986-02-01

ESN is a monthly publication with brief articles on recent developments in European scientific research. Its partial contents are: Biotechnology Research at GBF, and at the Inst. of Technical Chemistry, Univ. of Hanover, West Germany; 7th European Immunology Congress; Biotechnia '85 - First International Congress for Biotechnology; Acoustic Cavitation Generated by Clinical Ultrasound; Advances in Chemical Reaction Dynamics; Geophysics Research in Israel; Fiber Composite Research at Paisley College of Technology, Scotland; A review of International Research on the Physical Metallurgy of Welding; Silicon Metallurgy at the Helsinki Technical Univ.; A Conference on Guided Optical Structures and Their Applications; Optoelectronics Research at Oxford Univ.; and Fractal Conferences in Europe.

F-cell world drive 2011: are tactical medicine principles applicable to a civilian scenario?

PubMed

Burkert, Manuel G

2012-01-01

In 2011, a Mercedes Benz (MB) conducted the F-Cell World Drive tour around the globe in 125 days. While crossing Asia from Shanghai (China) to Helsinki (Finland) by car, en route medical care was provided by embedded emergency physicians. The designated route crossed four different countries, multiple climate zones, and challenging road conditions. There was only limited information provided about hospitals and emergency medical services within different host nations in the planning phase, so we adopted tactical medical principles for mission planning and execution, as we were facing remote conditions and limitations to equipment, staffing, and patient transport. 2012.

Earth Observations taken by the Expedition 39 Crew

NASA Image and Video Library

2014-04-02

ISS039-E-009160 (2 April 2014) --- This nighttime view featuring the aurora borealis, the moon and Moscow was photographed by an Expedition 39 crew member on the International Space Station. A thin green line of the aurora borealis crosses the top of this image. The moon appears as a white disc just above the aurora. Airglow appears as a blue-white cusp on Earth's limb. Russia's capital city Moscow makes a splash of yellow (lower left), with its easily recognized radial pattern of highways. Other cities are Nizhni Novgorod (lower center) 400 kilometers from Moscow, St. Petersburg (left) 625 kilometers from Moscow, and Finland?s capital city Helsinki.

[Responsibilities of ethics committees].

PubMed

von Bergmann, K

1999-01-15

Increasing numbers of clinical research projects are submitted to ethical committees (institutional review boards) for approval. New therapeutic developments have to be evaluated by these committees to protect patients/volunteers. Thus, the responsibility of ethical committees is increasing. The "Nürnberger Kodex" and the "Declaration of Helsinki" are the background for these evaluations. According to the German drug law the physician is obligated by law to submit the protocol to such a committee. In addition, local state physician authorities require such a procedure. Important considerations during the review process besides ethical aspects are the informed consent, which should be written in an understandable form, and the obligations of the insurance.

[Responsibilities of ethics committees].

PubMed

von Bergmann, K

2000-05-01

Increasing numbers of clinical research projects are submitted to ethical committees (institutional review boards) for approval. New therapeutic developments have to be evaluated by these committees to protect patients/volunteers. Thus, the responsibility of ethical committees is increasing. The "Nürnberger Kodex" and the "Declaration of Helsinki" are the background for these evaluations. According to the German drug law the physician is obligated by law to submit the protocol to such a committee. In addition, local state physician authorities require such a procedure. Important considerations during the review process besides ethical aspects are the informed consent, which should be written in an understandable form, and the obligations of the insurance.

Why an SO/sub 2/ emission tax is an unpopular policy instrument: Simulation results from a general equilibrium model of the Norwegian economy

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hanson, D.A.; Alfsen, K.H.

1986-01-01

Norway, together with some twenty other countries, signed the Helsinki treaty in July 1985 for the purpose of reducing SO/sub 2/ emissions. Hence, it is interesting to analyze the emission reductions that could be achieved using a tax on SO/sub 2/ emissions, as well as the indirect impacts on the economy. Simulations of the economic impact of the tax (which effectively increases the cost of using energy) were made using the Multi-Sectoral Growth (MSG) model. Results of the simulations indicated a larger than expected reduction in economic output.

CVD2014-A Database for Evaluating No-Reference Video Quality Assessment Algorithms.

PubMed

Nuutinen, Mikko; Virtanen, Toni; Vaahteranoksa, Mikko; Vuori, Tero; Oittinen, Pirkko; Hakkinen, Jukka

2016-07-01

In this paper, we present a new video database: CVD2014-Camera Video Database. In contrast to previous video databases, this database uses real cameras rather than introducing distortions via post-processing, which results in a complex distortion space in regard to the video acquisition process. CVD2014 contains a total of 234 videos that are recorded using 78 different cameras. Moreover, this database contains the observer-specific quality evaluation scores rather than only providing mean opinion scores. We have also collected open-ended quality descriptions that are provided by the observers. These descriptions were used to define the quality dimensions for the videos in CVD2014. The dimensions included sharpness, graininess, color balance, darkness, and jerkiness. At the end of this paper, a performance study of image and video quality algorithms for predicting the subjective video quality is reported. For this performance study, we proposed a new performance measure that accounts for observer variance. The performance study revealed that there is room for improvement regarding the video quality assessment algorithms. The CVD2014 video database has been made publicly available for the research community. All video sequences and corresponding subjective ratings can be obtained from the CVD2014 project page (http://www.helsinki.fi/psychology/groups/visualcognition/).

Clinical Comparison of Scapular, Fibular, and Iliac Crest Osseal Free Flaps in Maxillofacial Reconstructions.

PubMed

Wilkman, T; Husso, A; Lassus, P

2018-05-01

This study compared the three most used composite flaps in maxillofacial reconstructions in our institute. Between 2000 and 2012, a total of 163 patients with mandibular, maxillary, and orbital defects received either scapular, fibular, or iliac crest osseal reconstructions in Helsinki University Hospital, Departments of Plastic Surgery and Maxillofacial Surgery. Data regarding the patient demographics, complications, and outcomes were analyzed. There were 92 deep circumflex iliac artery flaps (56%), followed by 42 scapular (26%) and 29 fibular flaps (18%). The rate of flap loss was the highest in the deep circumflex iliac artery group (p = 0.001). Reconstructions using fibula were fastest (p = 0.001) and had lowest perioperative blood loss (p = 0.013). There were no significant differences in the number of early or late complications between the flaps, but donor site complications were more severe in deep circumflex iliac artery. Osteotomies as well as dental implants were safely performed in all flaps with equal results. All three flaps of this study can be performed with awareness of the deep circumflex iliac artery flap being the least reliable alternative. The knowledge of the advantages and disadvantages of several osseal-free flap alternatives is beneficial in selecting the best suitable method for each individual patient requiring maxillofacial osseal reconstruction.

Cardiovascular risk factors: Is the metabolic syndrome related to aging? Epidemiology in a Portuguese population.

PubMed

Ribeiro, Armindo Sousa; Seixas, Rui; Gálvez, Juan Manuel; Climent, Vicente

2018-05-16

The primary objective of our study is to determine the prevalence of the metabolic syndrome in the population. The secondary objective is to determine the prevalence of cardiovascular risk factors, anthropometric alterations and the prevalence of target organ damage and their relationship with aging. The sample for the study was obtained by means of a consecutive population-based demonstration in 803 adults over 18 years of age belonging to the labor force of the company Grupo Delta SA. The study was carried out according to the guidelines of the Declaration of Helsinki. The individuals included in the study voluntarily participated, once informed of the purpose of the study, giving their prior verbal consent, to the company's human resources department, in the case of Delta Group workers. 23.8% of the population has metabolic syndrome more prevalent in males, no smoking, no significant alcohol consumption, sedentary, with a high Body mass index (BMI). Its prevalence increases with age. We found that the prevalence of metabolic syndrome increases with age and is present in people of working age, increasing the risk of cardiovascular diseases, work-related absences, and socio-economic costs. Copyright © 2018 Diabetes India. Published by Elsevier Ltd. All rights reserved.

Physical Activity Assessment

Cancer.gov

Current evidence convincingly indicates that physical activity reduces the risk of colon and breast cancer. Physical activity may also reduce risk of prostate cancer. Scientists are also evaluating potential relationships between physical activity and other cancers.

EEG alpha power during maintenance of information in working memory in adults with ADHD and its plasticity due to working memory training: A randomized controlled trial.

PubMed

Liu, Zhong-Xu; Glizer, Daniel; Tannock, Rosemary; Woltering, Steven

2016-02-01

The present study examined whether neural indices of working memory maintenance differ between young adults with ADHD and their healthy peers (Study 1), and whether this neural index would change after working memory training (Study 2). Study 1 involved 136 college students with ADHD and 41 healthy peers (aged 18-35 years) and measured their posterior alpha activity during a visual delayed-match-to-sample task using electroencephalography (EEG). Study 2 involved 99 of the participants with ADHD who were randomized into a standard-length or shortened-length Cogmed working memory training program or a waitlist control group. The ADHD group tended to be less accurate than the peers. Similarly, the ADHD group exhibited lower posterior alpha power at a trend level compared to their healthy peers. There were no training effects on participants' performance and only marginal increases in posterior alpha power in training groups compared to the waitlist group. Considering that the training effects were small and there was no load and dose effect, we conclude that the current study provides no convincing evidence for specific effects of Cogmed. These findings provide unique insights into neuroplasticity, or lack thereof, with near-transfer tasks in individuals with ADHD. Copyright © 2015 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

NREM2 and Sleep Spindles Are Instrumental to the Consolidation of Motor Sequence Memories

PubMed Central

Laventure, Samuel; Fogel, Stuart; Lungu, Ovidiu; Albouy, Geneviève; Sévigny-Dupont, Pénélope; Vien, Catherine; Sayour, Chadi; Carrier, Julie; Benali, Habib; Doyon, Julien

2016-01-01

Although numerous studies have convincingly demonstrated that sleep plays a critical role in motor sequence learning (MSL) consolidation, the specific contribution of the different sleep stages in this type of memory consolidation is still contentious. To probe the role of stage 2 non-REM sleep (NREM2) in this process, we used a conditioning protocol in three different groups of participants who either received an odor during initial training on a motor sequence learning task and were re-exposed to this odor during different sleep stages of the post-training night (i.e., NREM2 sleep [Cond-NREM2], REM sleep [Cond-REM], or were not conditioned during learning but exposed to the odor during NREM2 [NoCond]). Results show that the Cond-NREM2 group had significantly higher gains in performance at retest than both the Cond-REM and NoCond groups. Also, only the Cond-NREM2 group yielded significant changes in sleep spindle characteristics during cueing. Finally, we found that a change in frequency of sleep spindles during cued-memory reactivation mediated the relationship between the experimental groups and gains in performance the next day. These findings strongly suggest that cued-memory reactivation during NREM2 sleep triggers an increase in sleep spindle activity that is then related to the consolidation of motor sequence memories. PMID:27032084

Simple group password-based authenticated key agreements for the integrated EPR information system.

PubMed

Lee, Tian-Fu; Chang, I-Pin; Wang, Ching-Cheng

2013-04-01

The security and privacy are important issues for electronic patient records (EPRs). The goal of EPRs is sharing the patients' medical histories such as the diagnosis records, reports and diagnosis image files among hospitals by the Internet. So the security issue for the integrated EPR information system is essential. That is, to ensure the information during transmission through by the Internet is secure and private. The group password-based authenticated key agreement (GPAKE) allows a group of users like doctors, nurses and patients to establish a common session key by using password authentication. Then the group of users can securely communicate by using this session key. Many approaches about GAPKE employ the public key infrastructure (PKI) in order to have higher security. However, it not only increases users' overheads and requires keeping an extra equipment for storing long-term secret keys, but also requires maintaining the public key system. This investigation presents a simple group password-based authenticated key agreement (SGPAKE) protocol for the integrated EPR information system. The proposed SGPAKE protocol does not require using the server or users' public keys. Each user only remembers his weak password shared with a trusted server, and then can obtain a common session key. Then all users can securely communicate by using this session key. The proposed SGPAKE protocol not only provides users with convince, but also has higher security.

Potential Alleviation of Chlorella vulgaris and Zingiber officinale on Lead-Induced Testicular Toxicity: an Ultrastructural Study.

PubMed

Mustafa, Hesham Noaman

2015-01-01

Natural, products were studied to combat reproductive alterations of lead. The current work aimed to disclose the efficacy of Chlorella vulgaris and Zingiber officinale to alleviate lead acetate induced toxicity. Sixty adult male Wistar rats were distributed into four groups. Group 1 was considered control, group 2 received 200 mg/l PbAc water, group 3 received 50 mg/kg/rat of C. vulgaris extract and 200 mg/l PbAc water, and group 4 received 100 mg/kg/rat of Z. officinale and 200 mg/l PbAc water for 90 days. Testis samples were subjected to ultrastructural examination. It was observed that PbAc caused degenerative alterations in the spermatogenic series in many tubules, with a loss of germ cells and vacuoles inside the cytoplasm and between the germ cells. Mitochondria exhibited ballooning, with lost cristae and widening of the interstitial tissue, while nuclear envelopes of primary spermatocytes were broken up, and axonemes of the mid-pieces of the sperms were distorted. With the treatment with C. vulgaris or Z. officinale, there were noticeable improvements in these modifications. It was concluded that both C. vulgaris and Z. officinale represent convincing medicinal components that may be used to ameliorate testicular toxicity in those exposed to lead in daily life with superior potentials revealed by C. vulgaris due to its chelating action.

Study protocol for the G-SPIRIT trial: a randomised, placebo-controlled, double-blinded phase III trial of granulocyte colony-stimulating factor-mediated neuroprotection for acute spinal cord injury

PubMed Central

Koda, Masao; Hanaoka, Hideki; Sato, Takatoshi; Fujii, Yasuhisa; Hanawa, Michiko; Takahashi, Sho; Furuya, Takeo; Ijima, Yasushi; Saito, Junya; Kitamura, Mitsuhiro; Ohtori, Seiji; Matsumoto, Yukei; Abe, Tetsuya; Watanabe, Kei; Hirano, Toru; Ohashi, Masayuki; Shoji, Hirokazu; Mizouchi, Tatsuki; Takahashi, Ikuko; Kawahara, Norio; Kawaguchi, Masahito; Orita, Yugo; Sasamoto, Takeshi; Yoshioka, Masahito; Fujii, Masafumi; Yonezawa, Katsutaka; Soma, Daisuke; Taneichi, Hiroshi; Takeuchi, Daisaku; Inami, Satoshi; Moridaira, Hiroshi; Ueda, Haruki; Asano, Futoshi; Shibao, Yosuke; Aita, Ikuo; Takeuchi, Yosuke; Mimura, Masaya; Shimbo, Jun; Someya, Yukio; Ikenoue, Sumio; Sameda, Hiroaki; Takase, Kan; Ikeda, Yoshikazu; Nakajima, Fumitake; Hashimoto, Mitsuhiro; Ozawa, Tomoyuki; Hasue, Fumio; Fujiyoshi, Takayuki; Kamiya, Koshiro; Watanabe, Masahiko; Katoh, Hiroyuki; Matsuyama, Yukihiro; Yamamoto, Yu; Togawa, Daisuke; Hasegawa, Tomohiko; Kobayashi, Sho; Yoshida, Go; Oe, Shin; Banno, Tomohiro; Arima, Hideyuki; Akeda, Koji; Kawamoto, Eiji; Imai, Hiroshi; Sakakibara, Toshihiko; Sudo, Akihiro; Ito, Yasuo; Kikuchi, Tsuyoshi; Osaki, Shuhei; Tanaka, Nobuhiro; Nakanishi, Kazuyoshi; Kamei, Naosuke; Kotaka, Shinji; Baba, Hideo; Okudaira, Tsuyoshi; Konishi, Hiroaki; Yamaguchi, Takayuki; Ito, Keigo; Katayama, Yoshito; Matsumoto, Taro; Matsumoto, Tomohiro; Idota, Masaru; Kanno, Haruo; Aizawa, Toshimi; Hashimoto, Ko; Eto, Toshimitsu; Sugaya, Takehiro; Matsuda, Michiharu; Fushimi, Kazunari; Nozawa, Satoshi; Iwai, Chizuo; Taguchi, Toshihiko; Kanchiku, Tsukasa; Suzuki, Hidenori; Nishida, Norihiro; Funaba, Masahiro; Yamazaki, Masashi

2018-01-01

Introduction Granulocyte colony-stimulating factor (G-CSF) is generally used for neutropaenia. Previous experimental studies revealed that G-CSF promoted neurological recovery after spinal cord injury (SCI). Next, we moved to early phase of clinical trials. In a phase I/IIa trial, no adverse events were observed. Next, we conducted a non-randomised, non-blinded, comparative trial, which suggested the efficacy of G-CSF for promoting neurological recovery. Based on those results, we are now performing a phase III trial. Methods and analysis The objective of this study is to evaluate the efficacy of G-CSF for acute SCI. The study design is a prospective, multicentre, randomised, double-blinded, placebo-controlled comparative study. The current trial includes cervical SCI (severity of American Spinal Injury Association (ASIA) Impairment Scale B/C) within 48 hours after injury. Patients are randomly assigned to G-CSF and placebo groups. The G-CSF group is administered 400 µg/m2/day×5 days of G-CSF in normal saline via intravenous infusion for 5 consecutive days. The placebo group is similarly administered a placebo. Our primary endpoint is changes in ASIA motor scores from baseline to 3 months. Each group includes 44 patients (88 total patients). Ethics and dissemination The study will be conducted according to the principles of the World Medical Association Declaration of Helsinki and in accordance with the Japanese Medical Research Involving Human Subjects Act and other guidelines, regulations and Acts. Results of the clinical study will be submitted to the head of the respective clinical study site as a report after conclusion of the clinical study by the sponsor-investigator. Even if the results are not favourable despite conducting the clinical study properly, the data will be published as a paper. Trial registration number UMIN000018752. PMID:29730616

Temperature measurement during polymerization of bone cement in percutaneous vertebroplasty: an in vivo study in humans.

PubMed

Anselmetti, Giovanni Carlo; Manca, Antonio; Kanika, Khanna; Murphy, Kieran; Eminefendic, Haris; Masala, Salvatore; Regge, Daniele

2009-05-01

Aim of the study was to "in vivo" measure temperature, during percutaneous vertebroplasty (PV), within a vertebral body injected with different bone cements. According to the declaration of Helsinki, 22 women (60-80 years; mean, 75 years) with painful osteoporotic vertebral collapse underwent bilateral transpedicular PV on 22 lumbar vertebrae. Two 10-G vertebroplasty needles were introduced into the vertebra under digital fluoroscopy; a 16-G radiofrequency thermoablation needle (Starburst XL; RITA Medical System Inc., USA), carrying five thermocouples, was than coaxially inserted. Eleven different bone cements were injected and temperatures were measured every 30 s until temperatures dropped under 45 degrees C. After the thermocouple needle was withdrawn, bilateral PV was completed with cement injection through the vertebroplasty needle. Unpaired Student's t-tests, Kruskal-Wallis test, and Wilcoxon signed rank test were used to evaluate significant differences (p < 0.05) in peak temperatures, variations between cements, and clinical outcome. All procedures were completed without complications, achieving good clinical outcomes (p < 0.0001). Regarding average peak temperature, cements were divided into three groups: A (over 60 degrees C), B (from 50 degrees to 60 degrees C), and C (below 50 degrees C). Peak temperature in Group A (86.7 +/- 10.7 degrees C) was significantly higher (p = 0.0172) than that in Groups B (60.5 +/- 3.7 degrees C) and C (44.8 +/- 2.6 degrees C). The average of all thermocouples showed an extremely significant difference (p = 0.0002) between groups. None of the tested cements maintained a temperature >or=45 degrees C for more than 30 min. These data suggest that back-pain improvement is obtained not by thermal necrosis but by mechanical consolidation only. The relative necrotic thermal effect in vertebral metastases seems to confirm that analgesia must be considered the main intent of PV.

Temperature Measurement During Polymerization of Bone Cement in Percutaneous Vertebroplasty: An In Vivo Study in Humans

DOE Office of Scientific and Technical Information (OSTI.GOV)

Anselmetti, Giovanni Carlo, E-mail: giovanni.anselmetti@ircc.it; Manca, Antonio; Kanika, Khanna

2009-05-15

Aim of the study was to 'in vivo' measure temperature, during percutaneous vertebroplasty (PV), within a vertebral body injected with different bone cements. According to the declaration of Helsinki, 22 women (60-80 years; mean, 75 years) with painful osteoporotic vertebral collapse underwent bilateral transpedicular PV on 22 lumbar vertebrae. Two 10-G vertebroplasty needles were introduced into the vertebra under digital fluoroscopy; a 16-G radiofrequency thermoablation needle (Starburst XL; RITA Medical System Inc., USA), carrying five thermocouples, was than coaxially inserted. Eleven different bone cements were injected and temperatures were measured every 30 s until temperatures dropped under 45{sup o}C. Aftermore » the thermocouple needle was withdrawn, bilateral PV was completed with cement injection through the vertebroplasty needle. Unpaired Student's t-tests, Kruskal-Wallis test, and Wilcoxon signed rank test were used to evaluate significant differences (p < 0.05) in peak temperatures, variations between cements, and clinical outcome. All procedures were completed without complications, achieving good clinical outcomes (p < 0.0001). Regarding average peak temperature, cements were divided into three groups: A (over 60{sup o}C), B (from 50{sup o} to 60{sup o}C), and C (below 50{sup o}C). Peak temperature in Group A (86.7 {+-} 10.7{sup o}C) was significantly higher (p = 0.0172) than that in Groups B (60.5 {+-} 3.7{sup o}C) and C (44.8 {+-} 2.6{sup o}C). The average of all thermocouples showed an extremely significant difference (p = 0.0002) between groups. None of the tested cements maintained a temperature {>=}45{sup o}C for more than 30 min. These data suggest that back-pain improvement is obtained not by thermal necrosis but by mechanical consolidation only. The relative necrotic thermal effect in vertebral metastases seems to confirm that analgesia must be considered the main intent of PV.« less

Can research assessments themselves cause bias in behaviour change trials? A systematic review of evidence from solomon 4-group studies.

PubMed

McCambridge, Jim; Butor-Bhavsar, Kaanan; Witton, John; Elbourne, Diana

2011-01-01

The possible effects of research assessments on participant behaviour have attracted research interest, especially in studies with behavioural interventions and/or outcomes. Assessments may introduce bias in randomised controlled trials by altering receptivity to intervention in experimental groups and differentially impacting on the behaviour of control groups. In a Solomon 4-group design, participants are randomly allocated to one of four arms: (1) assessed experimental group; (2) unassessed experimental group (3) assessed control group; or (4) unassessed control group. This design provides a test of the internal validity of effect sizes obtained in conventional two-group trials by controlling for the effects of baseline assessment, and assessing interactions between the intervention and baseline assessment. The aim of this systematic review is to evaluate evidence from Solomon 4-group studies with behavioural outcomes that baseline research assessments themselves can introduce bias into trials. Electronic databases were searched, supplemented by citation searching. Studies were eligible if they reported appropriately analysed results in peer-reviewed journals and used Solomon 4-group designs in non-laboratory settings with behavioural outcome measures and sample sizes of 20 per group or greater. Ten studies from a range of applied areas were included. There was inconsistent evidence of main effects of assessment, sparse evidence of interactions with behavioural interventions, and a lack of convincing data in relation to the research question for this review. There were too few high quality completed studies to infer conclusively that biases stemming from baseline research assessments do or do not exist. There is, therefore a need for new rigorous Solomon 4-group studies that are purposively designed to evaluate the potential for research assessments to cause bias in behaviour change trials.

31 CFR 101.8 - Discretion of the Secretary.

Code of Federal Regulations, 2010 CFR

2010-07-01

... FORFEITURE OF COUNTERFEIT GOLD COINS § 101.8 Discretion of the Secretary. The Secretary of the Treasury... not convinced that the petitoner was an innocent purchaser or holder without knowledge that the gold...

Australia's Next Top Fraction Model

ERIC Educational Resources Information Center

Gould, Peter

2013-01-01

Peter Gould suggests Australia's next top fraction model should be a linear model rather than an area model. He provides a convincing argument and gives examples of ways to introduce a linear model in primary classrooms.

Evaluation of spray injection patching.

DOT National Transportation Integrated Search

2003-01-01

A preliminary telephone survey of users of spray injection patching equipment revealed general satisfaction. In addition, a demonstration and follow-up 2-month evaluation of a rented truck-mounted unit convinced Virginia Department of Transportation ...

Is Ego Depletion Real? An Analysis of Arguments.

PubMed

Friese, Malte; Loschelder, David D; Gieseler, Karolin; Frankenbach, Julius; Inzlicht, Michael

2018-03-01

An influential line of research suggests that initial bouts of self-control increase the susceptibility to self-control failure (ego depletion effect). Despite seemingly abundant evidence, some researchers have suggested that evidence for ego depletion was the sole result of publication bias and p-hacking, with the true effect being indistinguishable from zero. Here, we examine (a) whether the evidence brought forward against ego depletion will convince a proponent that ego depletion does not exist and (b) whether arguments that could be brought forward in defense of ego depletion will convince a skeptic that ego depletion does exist. We conclude that despite several hundred published studies, the available evidence is inconclusive. Both additional empirical and theoretical works are needed to make a compelling case for either side of the debate. We discuss necessary steps for future work toward this aim.

Aromatherapy for health care: an overview of systematic reviews.

PubMed

Lee, Myeong Soo; Choi, Jiae; Posadzki, Paul; Ernst, Edzard

2012-03-01

Aromatherapy is the therapeutic use of essential oil from herbs, flowers, and other plants. The aim of this overview was to provide an overview of systematic reviews evaluating the effectiveness of aromatherapy. We searched 12 electronic databases and our departmental files without restrictions of time or language. The methodological quality of all systematic reviews was evaluated independently by two authors. Of 201 potentially relevant publications, 10 met our inclusion criteria. Most of the systematic reviews were of poor methodological quality. The clinical subject areas were hypertension, depression, anxiety, pain relief, and dementia. For none of the conditions was the evidence convincing. Several SRs of aromatherapy have recently been published. Due to a number of caveats, the evidence is not sufficiently convincing that aromatherapy is an effective therapy for any condition. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

"You must eat the salad because it is nutritious". Argumentative strategies adopted by parents and children in food-related discussions at mealtimes.

PubMed

Bova, Antonio; Arcidiacono, Francesco

2014-02-01

At mealtimes, the evaluation of the appropriate (or not appropriate) behavior concerning the food is often assumed as a topic of discourse. The aim of this study is to single out the argumentative strategies used by parents with their children and by children with their parents in order to convince the other party to eat or not to eat a certain food. Within a data corpus constituted by 30 video-recorded meals of 10 middle to upper-middle-class Swiss and Italian families, we selected a corpus of 77 argumentative discussions between parents and children arisen around a food-related issue. Data are presented through discursive excerpts of argumentative discussions that were found within the data corpus and analyzed through the pragma-dialectical model of critical discussion. The results of this study show that the feeding practices in families with young children during mealtimes are argumentatively co-constructed by participants. In most cases parents put forward arguments based on the quality (e.g., very good, nutritious, salty, or not good) and quantity (e.g., too little, quite enough, or too much) of food to convince their children to eat. Similarly, children put forward arguments based on the quality and quantity of food to convince their parents to change their standpoint, although their view on the issue is the opposite of that of their parents. Copyright © 2013 Elsevier Ltd. All rights reserved.

Talking Past Each Other? Cultural Framing of Skeptical and Convinced Logics in the Climate Change Debate

NASA Astrophysics Data System (ADS)

Hoffman, A.

2011-12-01

This paper analyzes the extent to which two institutional logics around climate change - the climate change "convinced" and climate change "skeptical" logics - are truly competing or talking past each other in a way that can be described as a logic schism. Drawing on the concept of framing from social movement theory, it uses qualitative field observations from the largest climate deniers conference in the U.S. and a dataset of almost 800 op/eds from major news outlets over a two year period to examine how convinced and skeptical logics employ frames and issue categories to make arguments about climate change. This paper finds that the two logics are engaging in different debates on similar issues with the former focusing on solutions while the latter debates the definition of the problem. It concludes that the debate appears to be reaching a level of polarization where one might begin to question whether meaningful dialogue and problem-solving has become unavailable to participants. The implications of such a logic schism is a shift from an integrative debate focused on addressing interests to a distributive battle over concessionary agreements with each side pursuing its goals by demonizing the other. Avoiding such an outcome requires the activation of, as yet, dormant "broker" frames (technology, religion and national security), the redefinition of existing ones (science, economics, risk, ideology) and the engagement of effective "brokers" to deliver them.

Exercise motivation and nonspecific back pain: A comparison of patients and nonpatients.

PubMed

Kleinert, Jens; Ott, Ida; Mierswa, Tobias; Levenig, Claudia G; Wenge, Kerstin; Hasenbring, Monika; Kellmann, Michael

2017-08-01

Motivation is a key variable to consider during exercise or exercise therapy of individuals with back pain. Based on organismic integration theory, this study aims to improve the understanding of exercise motivation in patients and nonpatients by evaluating the relationships between typical motivational profiles and personal characteristics, therapy parameters and pain related variables. One hundred nine women and 145 men with back pain (mean age 33.3 years; 31.9% currently under the care of a physician) involved in some kind of exercise for current nonspecific back pain voluntarily participated in this study. An adapted version of the Behavioral Regulation in Sport Questionnaire was used to measure exercise motivation. Furthermore, data on pain, disability status, level of sport activity, body concept, and the type of treatment or exercise were gathered. Autonomous forms of regulation were most prevalent among subjects. Of 4 motivational profiles found, 2 showed a positive pattern (29.1% highly motivated individuals, 21.7% autonomously convinced individuals), and 2 showed a more negative pattern (19.7% controlled convinced individuals, 29.5% less motivated individuals). Relationships between profiles and age, body concept, involvement in sport competition, and type of exercise were found. The different motivational profiles respectively reveal specific practical relevance. In particular, the controlled convinced pattern is supposed to be more maladaptive than all other profiles. The insights provided by this study supports the development of motivation-oriented treatments based on the assessment of individuals' motivational profiles. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Evidence of MAOA genotype involvement in spatial ability in males

PubMed Central

Mueller, Sven C.; Cornwell, Brian R.; Grillon, Christian; MacIntyre, Jessica; Gorodetsky, Elena; Goldman, David; Pine, Daniel S.; Ernst, Monique

2014-01-01

Although the Monoamine Oxidase-A (MAOA) gene has been linked to spatial learning and memory in animal models, convincing evidence in humans is lacking. Performance on an ecologically-valid, virtual computer-based equivalent of the Morris Water Maze task was compared between 28 healthy males with the low MAOA transcriptional activity and 41 healthy age- and IQ-matched males with the high MAOA transcriptional activity. The results revealed consistently better performance (reduced heading error, shorter path length, and reduced failed trials) for the high MAOA activity individuals relative to the low activity individuals. By comparison, groups did not differ on pre-task variables or strategic measures such as first-move latency. The results provide novel evidence of MAOA gene involvement in human spatial navigation using a virtual analogue of the Morris Water Maze task. PMID:24671068

Critical assessment of opposing views on trends in childhood cancer.

PubMed

Bukowski, J A

2000-01-01

Two articles reaching opposite conclusions on the current trends in childhood cancer have recently appeared in the literature. One concluded that pediatric cancers have increased dramatically, suggesting an effect from environmental hazards; the other concluded that rates for the major pediatric cancers have remained fairly stable, except for modest increases due to improvements in diagnosis or reporting. This review discusses the reasons for this discrepancy, including differences in the populations, age groups, and time periods analyzed. The arguments in favor of an increase are examined and shown to provide no convincing evidence that environmental pollutants have increased pediatric cancer rates over the past 20 to 30 years. Any suggested increase appears to be the result of non-causal factors, such as selective analysis and reporting, residual confounding by age, random variation, and stepwise improvements in diagnosis and classification.

A Pragmatic Approach to Getting Published: 35 Tips for Early Career Researchers

PubMed Central

Glover, Natasha M.; Antoniadi, Ioanna; George, Gavin M.; Götzenberger, Lars; Gutzat, Ruben; Koorem, Kadri; Liancourt, Pierre; Rutowicz, Kinga; Saharan, Krishna; You, Wanhui; Mayer, Philipp

2016-01-01

It is trite to say “publish or perish,” yet many early career researchers are often at a loss on how to best get their work published. With strong competition and many manuscripts submitted, it is difficult to convince editors and reviewers to opt for acceptance. A pragmatic approach to publishing may increase one's odds of success. Here, we – a group of postdocs in the field of plant science – present specific recommendations for early career scientists on advanced levels. We cannot provide a recipe-like set of instructions with success guaranteed, but we come from a broad background in plant science, with experience publishing in a number of journals of varying topics and impact factors. We provide tips, tricks, and tools for collaboration, journal selection, and achieving acceptance. PMID:27242817

Epidural compression in neuroblastoma: Diagnostic and therapeutic aspects.

PubMed

De Bernardi, Bruno; Balwierz, Walentyna; Bejent, Joanna; Cohn, Susan L; Garrè, Maria Luisa; Iehara, Tomoko; Plantaz, Dominique; Simon, Thorsten; Angelini, Paola; Cama, Armando; London, Wendy B; Kramer, Kim; Katzenstein, Howard M; Tortori-Donati, Paolo; Rossi, Andrea; D'Angio, Giulio J; Evans, Audrey E

2005-10-18

The involvement by tumour of intervertebral foramina and the consequent invasion of the spinal space, accompanied or not by neurological symptoms, represent a well-recognised pattern of presentation of neuroblastoma. The main peculiarity of this condition stands in the fact that, in case of its late detection or inadequate treatment, severe, permanent neurological compromise may ensue. Surprisingly enough, remarkable disagreements still exist regarding its optimal treatment and the related literature provide contrasting indications at this respect. The neurosurgical and the chemotherapeutic approaches have equally convinced supporters, while the use of radiation therapy is uncommon, possibly without good reasons. This mini-review intends to report the clinical experiences of the major Paediatric Oncology Groups with the aim to collect as many data as possible in the perspective of establishing common guidelines for proper diagnosing and treatment of this important complication.

Depressive symptoms, suicidal ideation and acne: a study of male Finnish conscripts.

PubMed

Rehn, L M H; Meririnne, E; Höök-Nikanne, J; Isometsä, E; Henriksson, M

2008-05-01

To investigate the association among acne, depressive symptoms and suicidal ideation in Finnish male military conscripts. Consecutive 165 acne patients and 150 patients with mild knee symptoms for comparison were enrolled in the study conducted in the Central Military Hospital, Helsinki, Finland. They filled out the following questionnaires: General Health Questionnaire (GHQ-12), Beck Depression Inventory (BDI), Alcohol Use Disorders Identification Test and Rosenberg Self-Esteem Scale. The Leeds acne grading scale was used to estimate the severity of acne. Sixteen (9.7%) acne patients and 20 (13.3%) comparison patients had at least moderate level of depressive symptoms (BDI score 10; P > 0.05, between groups). Suicidal ideation (BDI suicidal item score 1) was reported by 24 (14.5%) acne patients and 16 (10.7%) comparison patients (P > 0.05, between groups). When comparing the mild facial acne patients (Leeds score 0-3) with those with moderate-severe facial acne (Leeds score 4), there were no statistical differences in depressive symptoms (9.5% vs. 10.0%) or suicidal ideation (13.7% vs. 15.7%). No linear relationship was observed between the BDI and facial Leeds scores (P > 0.05). Risk factors for suicidal ideation among the acne patients were depression and alcohol risk use. Young male patients with acne do not suffer more depressive symptoms or suicidal ideation than patients with mild knee symptoms, and the severity of acne is not associated with the presence of depressive symptoms. The risk factors for suicidal ideation among acne patients seem to be similar to those found in the general population.

Research oriented MSc course on solar eruptions

NASA Astrophysics Data System (ADS)

Vainio, Rami; Heber, Bernd; Agueda, Neus; Kilpua, Emilia; Isavnin, Alexey; Afanasiev, Alexandr; Ganse, Urs; Koskinen, Hannu E. J.

2014-05-01

Department of Physics, University of Helsinki, organized a five-credit-point Master-level course on "Solar Eruptions and Space Environment" in spring 2013. The course, attended by nine students, included twenty hours of introductory lectures on solar eruptive phenomena (focusing on energetic particle emissions) as well as experimental and theoretical methods to analyze them. In addition, the course contained ten hours of exercise sessions, where solutions on short calculation exercises were presented and discussed. The main learning method on the course was, however, a coordinated scientific analysis of five solar eruptions observed by the STEREO spacecraft in 2010-2011. The students were grouped in four teams to study the solar eruptive events from four different view points: (1) Analysis of morphology and kinematics of coronal mass ejections, (2) analysis of EUV imaging observations of coronal wave-like transients, (3) solar and interplanetary magnetic field conditions during the eruptions, and (4) emission and transport modelling of near-relativistic electron events associated with the eruptions. Each group of students was assigned a scientist to oversee their work. The students reported weekly on their progress and gave a final presentation (of 30 minutes) in a seminar session at the end of the seven-week course. Grading of the course was based on the home exercises and final presentations. Students were also asked to give anonymous feedback on the course. Learning results on the course were very encouraging, showing that research oriented courses with practical research exercises on specific topics give students deeper knowledge and more practical skills than traditional lectures and home exercises alone.

Past and present socioeconomic circumstances and psychotropic medication: a register-linkage study.

PubMed

Mauramo, Elina; Lallukka, Tea; Laaksonen, Mikko; Martikainen, Pekka; Rahkonen, Ossi; Lahelma, Eero

2012-12-01

Various domains of socioeconomic circumstances are associated with self-reported mental health, but we lack evidence from studies using medically confirmed mental health outcomes. This longitudinal study aimed to examine the associations of multiple domains of socioeconomic circumstances with subsequent prescribed psychotropic medication among Finnish public sector employees. Baseline survey data among 40-60-year-old employees of City of Helsinki were linked with Social Insurance Institution of Finland register data on psychotropic medication purchases (n=5563). HRs were calculated using Cox regression to examine associations of parental and own education, childhood and current economic difficulties, occupational class, household income and housing tenure with antidepressants, sleeping pills and sedatives and any psychotropic medication during a 5-year follow-up. In age and previous psychotropic medication adjusted models, the risk of antidepressant medication was higher in those with childhood (women: HR=1.29, men: HR=1.64) and current economic difficulties (women: HR=1.30-1.54), rented housing (women: HR=1.20, men: HR=1.45) and the second lowest income group (men: HR=1.71). Gradual adjustments had little effect on the associations. For sleeping pills and sedatives, similar associations were found in women for current economic difficulties, and in men for housing tenure. Results for any psychotropic medication reflected those observed for antidepressants. Past and present economic difficulties and housing tenure were more important determinants of subsequent psychotropic medication among employees than the conventional socioeconomic determinants. The associations were somewhat inconsistent between the medication groups and the sexes. The results support the importance of examining multiple domains of socioeconomic circumstances simultaneously.

Pleasurable music affects reinforcement learning according to the listener

PubMed Central

Gold, Benjamin P.; Frank, Michael J.; Bogert, Brigitte; Brattico, Elvira

2013-01-01

Mounting evidence links the enjoyment of music to brain areas implicated in emotion and the dopaminergic reward system. In particular, dopamine release in the ventral striatum seems to play a major role in the rewarding aspect of music listening. Striatal dopamine also influences reinforcement learning, such that subjects with greater dopamine efficacy learn better to approach rewards while those with lesser dopamine efficacy learn better to avoid punishments. In this study, we explored the practical implications of musical pleasure through its ability to facilitate reinforcement learning via non-pharmacological dopamine elicitation. Subjects from a wide variety of musical backgrounds chose a pleasurable and a neutral piece of music from an experimenter-compiled database, and then listened to one or both of these pieces (according to pseudo-random group assignment) as they performed a reinforcement learning task dependent on dopamine transmission. We assessed musical backgrounds as well as typical listening patterns with the new Helsinki Inventory of Music and Affective Behaviors (HIMAB), and separately investigated behavior for the training and test phases of the learning task. Subjects with more musical experience trained better with neutral music and tested better with pleasurable music, while those with less musical experience exhibited the opposite effect. HIMAB results regarding listening behaviors and subjective music ratings indicate that these effects arose from different listening styles: namely, more affective listening in non-musicians and more analytical listening in musicians. In conclusion, musical pleasure was able to influence task performance, and the shape of this effect depended on group and individual factors. These findings have implications in affective neuroscience, neuroaesthetics, learning, and music therapy. PMID:23970875

Study on rapid bio-drying technology of cow dung with CaO2

NASA Astrophysics Data System (ADS)

Chen, Xiaotian; Qu, Guangfei; Liu, Shugen; Xie, Ruosong; He, Yanhua

2017-05-01

Effect of CaO2 on cow dung rapid bio-drying technology was researched. A static aerobic composting system was applied to this experiment which combining natural ventilation with Turing in the process of composting. The physical characteristics of cow dung was observed and the compost temperature, moisture content, organic matter, total nitrogen, total phosphorus, potassium content was determined which in order to study the effect of CaO2 on rapid drying of cattle in the compost. In the initial stage of compost, adding CaO2 groups compared with the control group, the temperature rise faster, 4-6 days in advance to the thermophilic phase; at the end of composting, the CaO2 composition and moisture content decreased significantly to below 30%. The addition of CaO2 in fertilizer was shorten the composting time, extend the thermophilic phase, to provide sufficient oxygen meeting the growth needs of aerobic microorganisms. It convinced that the rapid bio-drying of dairy manure has a good effect and provided a new idea for the effective treatment of cow dung.

The first shall be last: Selection-driven minority becomes majority

NASA Astrophysics Data System (ADS)

Crokidakis, Nuno; de Oliveira, Paulo Murilo Castro

2014-09-01

Street demonstrations occur across the world. In Rio de Janeiro, in June/July 2013, they reach beyond one million people. A wrathful reader of O Globo, a leading newspaper in the same city, published a letter (Ferreira (2011) [10]) where many social questions are stated and answered Yes or No. These million people of street demonstrations share opinion consensus about a similar set of social issues. But they did not reach this consensus within such a huge numbered meeting. Earlier, they have met in diverse small groups where some of them could be convinced to change their mind by other few fellows. Suddenly, a macroscopic consensus emerges. Many other big manifestations are widespread all over the world in recent times, and are supposed to remain in the future. The interesting questions are: (1) How a binary-option opinion distributed among some population evolves in time, through local changes that occurred within small-group meetings? and (2) Is there some natural selection rule acting upon? Here, we address these questions through an agent-based model.

Preparing for Antibiotic Resistance Campaigns: A Person-centered Approach to Audience Segmentation

PubMed Central

Smith, Rachel A.; Quesnell, Madisen; Glick, Lydia; Hackman, Nicole; M’ikanatha, Nkuchia M.

2015-01-01

Antibiotic resistance is growing threat to public health threat that calls for urgent attention. However, creating campaigns to slow the emergence and spread of drug-resistant pathogens is challenging because the goal—antibiotic stewardship—encompasses multiple behaviors. This study provided a novel approach to audience segmentation for a multifaceted goal, by using a person-centered approach to identify profiles of US adults based on shared stewardship intentions. The latent class analysis identified three groups: Stewards, Stockers, and Demanders. The findings suggest campaigns with goals aimed at encouraging Stewards to follow through on their intentions, encouraging Stockers to dispose of their leftover antibiotics, and convincing Demanders to accept provider’s evidence-based judgment when a prescription for antibiotics is not indicated. Covariate analysis showed that people who held more inaccurate beliefs about what antibiotics can treat had higher odds of being Demanders and Stockers instead of Stewards. People with stronger health mavenism also had higher odds of being Stockers instead of Stewards. The covariate analysis provided theoretical insight into the strategies to pursue in campaigns targeting these three groups. PMID:26181623

Diuretic downsides--but in low doses they still seem among the best authenticated antihypertensives.

PubMed

Opie, L H

2000-08-01

Diuretics in low doses have the greatest support among current available antihypertensives in that they have been shown to reduce total mortality, coronary mortality, stroke, and congestive heart failure in an important meta-analysis by Psaty. Recently, Messerli has linked longterm diuretic use to renal cell carcinoma in women. In some patients, diuretic use leads to increasing blood cholesterol and blood sugar levels. Impotence is a recognized side effect, with rates rising about twofold with low-dose chlorthalidone and fourfold with a higher dose. Certain population groups such as younger (<60 years) white males often do not respond to low-dose diuretic therapy with an adequate blood pressure fall. In females of a similar age group, Messerli calculates that prolonged diuretic therapy will prevent only one stroke and no coronary events nor any deaths for every renal cell carcinoma that is provoked. Despite these evident problems, the outcome data on hard endpoints in trials with initial low-dose diuretic therapy remain valid and convincing. Thus, it is argued, low- but not high-dose diuretics retain their primacy in the ranking of antihypertensive therapy.

A social marketing approach to improving the nutrition of low-income women and children: an initial focus group study.

PubMed

Hampson, Sarah E; Martin, Julia; Jorgensen, Jenel; Barker, Mary

2009-09-01

To identify approaches for interventions to improve the nutrition of low-income women and children. Seven focus groups were conducted with low-income women caring for young children in their households. They discussed shopping, eating at home, eating out and healthy eating. The discussions were recorded and subjected to qualitative thematic analysis. A semi-rural community in Oregon, USA. There were seventy-four women (74% White), most of whom were 18-29 years old. Four broad themes were identified, i.e. cost-consciousness, convenience, social influences and health issues. The target population would benefit from improved understanding of what constitutes a balanced diet, with a greater emphasis on a more central role for fruit and vegetables. To persuade this population to change their eating habits, it will be necessary to convince them that healthful food can be low-cost, convenient and palatable for children. Comparing findings from the present study with a similar one in the UK suggests that the US women faced many of the same barriers to healthy eating but displayed less helplessness.

Spin transport properties of n-polyacene molecules (n = 1–15) connected to Ni surface electrodes: Theoretical analysis

PubMed Central

Caliskan, S.; Laref, A.

2014-01-01

Using non-equilibrium Green function formalism in conjunction with density functional theory, we explore the spin-polarized transport characteristics of several planar n-acene molecules suspended between two semi-infinite Ni electrodes via the thiol group. We examine the spin-dependence transport on Ni-n-acenes-Ni junctions, while the number of fused benzene rings varies between 1 and 15. Intriguingly, the induced magnetic moments of small acene molecules are higher than that of longer acene rings. The augmentation of fused benzene rings affects both the magnetic and transport features, such as the transmission function and conductance owing to their coupling to the Ni surface contacts via the anchoring group. The interplay between the spin-polarized transport properties, structural configuration and molecular electronic is a fortiori essential in these attractive molecular devices. Thus, this can conduct to the engineering of the electron spin transport in atomistic and molecular junctions. These prominent molecules convincingly infer that the molecular spin valves can conduct to thriving molecular devices. PMID:25482076

Water policy: Science versus political realities

NASA Astrophysics Data System (ADS)

Ryan, Mark A.

2017-11-01

Debate rages over which water bodies in the US are protected under federal law by the Clean Water Act. Science shows that isolated wetlands and headwater systems provide essential downstream services, but convincing politicians is another matter.

Advertising in the Sznajd Marketing Model

NASA Astrophysics Data System (ADS)

Schulze, Christian

The traditional Sznajd model, as well as its Ochrombel simplification for opinion spreading, is applied to marketing with the help of advertising. The larger the lattice, the smaller the amount of advertising is needed to convince the whole market.

At Odds over Openness.

ERIC Educational Resources Information Center

Michelsen, Jan

1988-01-01

The chasm between crisis management theory and practice has been the downfall of many an institution. Senior professionals in corporate and institutional public relations were asked about their strategies for convincing top management to release information during a crisis. (MLW)

5 CFR 831.671 - Proof of eligibility for a child's annuity.

Code of Federal Regulations, 2010 CFR

2010-01-01

... presumption may be rebutted only by clear and convincing evidence that the husband is not the father of the... family member under the employee's or retiree's Federal Employees Health Benefits enrollment; and (vi...

Fees for Library Service: They Are not Inevitable!

ERIC Educational Resources Information Center

Kranich, Nancy

1980-01-01

The interests of libraries and users are best served when library services are provided without fee. Policy makers must be convinced that library services are a combination of public and merit goods deserving governmental funding. (RAA)

Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity

PubMed Central

Tevatia, Siddharth; Khatri, Vivek; Sharma, Nikhil; Dodwad, Vidya

2017-01-01

Context: Dentinal hypersensitivity (DH) is a chronic disorder in which patients report sharp and acute pain to a variety of stimuli. Till date, a standardized procedure to treat DH is missing, though several alternative treatment strategies have been designed, including laser therapies. Aim: The aim of the study was to treat DH with minimum chemical concentration and least laser energy level with longer follow-up period. Materials and Methods: One hundred and twenty patients were randomly divided into four groups: (i) Group 1-5% potassium nitrate (KNO3); (ii) Group 2 - gallium-aluminum-arsenide diode laser (62.2 J/cm2, wavelength - 980 nm, noncontact pulse mode, and power wattage - 0.5 W); (iii) Group 3 - combined 5% KNO3 and the diode laser; and (iv) Group 4 - placebo (control). The visual analog scale (VAS) scores were recorded, analyzed, and compared to tactile stimuli, cold water, and air blast tests at different intervals for 6 weeks. Results: Synergistic use of 5% KNO3 and diode laser (Group 3) significantly reduced the DH pain, which was almost negligible after 6th week (97%–99% of the pain was reported to be relieved) and showed promising results than any other studied groups. Further, the diode laser (Group 2) showed better results than 5% KNO3 (Group 1). One-way ANOVA and Bonferroni correction post hoc test revealed the combination of groups with significant differences in the mean VAS scores at the different interval of time (P < 0.01). Conclusions: Convincingly, the combined application of 5% KNO3 with the diode laser can be recommended for treating DH patients. PMID:29491586

[Is "evidence-based medicine" followed by "confidence-based medicine"?].

PubMed

Porzsolt, Franz; Fangerau, Heiner

2010-08-01

In an appeal concerning accusations of defamation, the England and Wales Court of Appeal Decisions determined that evidence-based statements are to be judged as opinions and not statements of fact. Since the authors consider it probable that this legal judgment will exert influence on physicians' decisions about the provision of health care services, they have compiled the implications of the judgment and discuss its consequences. The own analyses and considerations lead to the conclusion that confidence-based medicine follows evidence-based medicine. This extension is necessary because evidence-based medicine has not been able to generate the required trust. Therefore, it will be demanded to underpin the existing concept with additional data. These data will be necessary because it is no longer sufficient to convince scientists with data which are obtained under ideal conditions, but to convince critical members of society with additional data which have been obtained under everyday conditions.

Predictors of men's acceptance of modern contraceptive practice: study in rural Vietnam.

PubMed

Ha, Bui Thi Thu; Jayasuriya, Rohan; Owen, Neville

2005-12-01

Studies have shown family planning adoption is likely to be more effective for women when men are actively involved. The transtheoretical model of behavior change was used to examine men's involvement in general contraception and intrauterine device (IUD) use by their wives. The study was carried out in rural Vietnam with 651 eligible participants. Cons of IUD use for men in precontemplation and contemplation/preparation were significantly higher than those in the action/maintenance stages, whereas the reverse was true for pros of IUD. The self-efficacy for convincing wife to have IUD in precontemplation was significantly lower than for those in higher stages. Women's education and ages, spontaneous recall of modern contraceptive method, cons for IUD, and self-efficacy for contraception and for convincing wives to get IUD inserted (or continue use) were significant predictors of men's readiness to accept IUD. Interventions are targeted to reduce cons and increase self-efficacy for IUD use.

Experimental scattershot boson sampling

PubMed Central

Bentivegna, Marco; Spagnolo, Nicolò; Vitelli, Chiara; Flamini, Fulvio; Viggianiello, Niko; Latmiral, Ludovico; Mataloni, Paolo; Brod, Daniel J.; Galvão, Ernesto F.; Crespi, Andrea; Ramponi, Roberta; Osellame, Roberto; Sciarrino, Fabio

2015-01-01

Boson sampling is a computational task strongly believed to be hard for classical computers, but efficiently solvable by orchestrated bosonic interference in a specialized quantum computer. Current experimental schemes, however, are still insufficient for a convincing demonstration of the advantage of quantum over classical computation. A new variation of this task, scattershot boson sampling, leads to an exponential increase in speed of the quantum device, using a larger number of photon sources based on parametric down-conversion. This is achieved by having multiple heralded single photons being sent, shot by shot, into different random input ports of the interferometer. We report the first scattershot boson sampling experiments, where six different photon-pair sources are coupled to integrated photonic circuits. We use recently proposed statistical tools to analyze our experimental data, providing strong evidence that our photonic quantum simulator works as expected. This approach represents an important leap toward a convincing experimental demonstration of the quantum computational supremacy. PMID:26601164

Experimental scattershot boson sampling.

PubMed

Bentivegna, Marco; Spagnolo, Nicolò; Vitelli, Chiara; Flamini, Fulvio; Viggianiello, Niko; Latmiral, Ludovico; Mataloni, Paolo; Brod, Daniel J; Galvão, Ernesto F; Crespi, Andrea; Ramponi, Roberta; Osellame, Roberto; Sciarrino, Fabio

2015-04-01

Boson sampling is a computational task strongly believed to be hard for classical computers, but efficiently solvable by orchestrated bosonic interference in a specialized quantum computer. Current experimental schemes, however, are still insufficient for a convincing demonstration of the advantage of quantum over classical computation. A new variation of this task, scattershot boson sampling, leads to an exponential increase in speed of the quantum device, using a larger number of photon sources based on parametric down-conversion. This is achieved by having multiple heralded single photons being sent, shot by shot, into different random input ports of the interferometer. We report the first scattershot boson sampling experiments, where six different photon-pair sources are coupled to integrated photonic circuits. We use recently proposed statistical tools to analyze our experimental data, providing strong evidence that our photonic quantum simulator works as expected. This approach represents an important leap toward a convincing experimental demonstration of the quantum computational supremacy.

In re Martin.

PubMed

1995-08-22

The Supreme Court of Michigan held that the testimony and affidavit of the wife of an incompetent but conscious patient did not constitute clear and convincing evidence of the patient's pre-injury decision to decline life-sustaining medical treatment. A subjective analysis is applied which allows treatment to be withheld if it is clear that the particular patient would have refused treatment under the circumstances involved. The court reasoned that prior statements by the patient to the effect that he would not want to receive life-sustaining treatment if he was in a serious accident, had disabling or terminal illness, or was dying of old age, and that he did not want to live "like a vegetable," did not rise to the clear and convincing level of evidence. Rather, only when a patient's prior statements clearly illustrate a serious, well thought out, consistent decision to refuse treatment under exact or highly similar circumstances as those present, should medical treatment be withheld.

Should Mitochondrial Donation Be Anonymous?

PubMed Central

Appleby, John B

2018-01-01

Abstract Currently in the United Kingdom, anyone donating gametes has the status of an open-identity donor. This means that, at the age of 18, persons conceived with gametes donated since April 1, 2005 have a right to access certain pieces of identifying information about their donor. However, in early 2015, the UK Parliament approved new regulations that make mitochondrial donors anonymous. Both mitochondrial donation and gamete donation are similar in the basic sense that they involve the contribution of gamete materials to create future persons. Given this similarity, this paper presumes that both types of donor should be treated the same and made open-identity under the law, unless there is a convincing argument for treating them differently. I argue that none of the existing arguments that have been made so far in favor of mitochondrial donor anonymity are convincing and mitochondrial donors should therefore be treated as open-identity donors under UK law. PMID:29301011

Should Mitochondrial Donation Be Anonymous?

PubMed

Appleby, John B

2018-03-13

Currently in the United Kingdom, anyone donating gametes has the status of an open-identity donor. This means that, at the age of 18, persons conceived with gametes donated since April 1, 2005 have a right to access certain pieces of identifying information about their donor. However, in early 2015, the UK Parliament approved new regulations that make mitochondrial donors anonymous. Both mitochondrial donation and gamete donation are similar in the basic sense that they involve the contribution of gamete materials to create future persons. Given this similarity, this paper presumes that both types of donor should be treated the same and made open-identity under the law, unless there is a convincing argument for treating them differently. I argue that none of the existing arguments that have been made so far in favor of mitochondrial donor anonymity are convincing and mitochondrial donors should therefore be treated as open-identity donors under UK law.

The Continuing Allure of Cure: A Response to Alex Broadbent's "Prediction, Understanding, and Medicine".

PubMed

Harris, Chadwin

2018-05-09

In "Prediction, Understanding, and Medicine," Alex Broadbent rejects the curative thesis, the view that the core medical competence is to cure, in favor of his predictive thesis that the main intellectual medical competence is to explain and the main practical medical competence is to predict. Broadbent thinks his account explains the phenomenon of multiple consultation, which is the fact that people persist in consulting alternative medical traditions despite having access to mainstream medicine. I argue that Broadbent's explanation of multiple consultation makes sense only from the perspective of patients who migrate from mainstream to alternative consultation. His explanation is not as convincing when we consider alternative-to-mainstream migration. I also provide an argument against Broadbent's view that prediction is medicine's main practical competence and argue that, when it comes to explaining most cases of multiple consultation, the curative thesis provides a more convincing explanation than the predictive thesis.

Humor in print health advertisements: enhanced attention, privileged recognition, and persuasiveness of preventive messages.

PubMed

Blanc, Nathalie; Brigaud, Emmanuelle

2014-01-01

This study tested the effect of humor in one particular type of print advertisement: the preventive health ads for three topics (alcohol, tobacco, obesity). Previous research using commercial ads demonstrated that individuals' attention is spontaneously attracted by humor, leading to a memory advantage for humorous information over nonhumorous information. Two experiments investigated whether the positive effect of humor can occur with preventive health ads. In Experiment 1, participants observed humorous and nonhumorous health ads while their viewing times were recorded. In Experiment 2, to compare humorous and nonhumorous ads, the memory of health messages was assessed through a recognition task and a convincing score was collected. The results confirmed that, compared to nonhumorous health ads, those using humor received prolonged attention, were judged more convincing, and their messages were better recognized. Overall, these findings suggest that humor can be of use in preventive health communication.

“Here Man Learns About Himself”

PubMed Central

Toon, Elizabeth

2012-01-01

When the American Museum of Health (AMH) opened in 1939 at the World’s Fair, its popularity convinced its organizers that the AMH was merely the first in a nationwide network of health museums. The AMH’s organizers had imported an approach to health education developed in Germany, which promoted health as a positive attribute through interactive, visually impressive displays that relied on clarity and simplicity—as epitomized by the “Transparent Man”—to encourage a feeling of wonder among exhibit goers. However, other museum professionals rejected this approach, and the AMH failed to catalyze a broad health museum movement. Nevertheless, the notion that presenting the body as an object of wonder will improve the public’s health has reappeared in the more recent past, as popular anatomical shows claim that exposing the interior of the human body will convince viewers to live healthier lives. PMID:22515866

A systematic review of systematic reviews of homeopathy

PubMed Central

Ernst, E

2002-01-01

Homeopathy remains one of the most controversial subjects in therapeutics. This article is an attempt to clarify its effectiveness based on recent systematic reviews. Electronic databases were searched for systematic reviews/meta-analysis on the subject. Seventeen articles fulfilled the inclusion/exclusion criteria. Six of them related to re-analyses of one landmark meta-analysis. Collectively they implied that the overall positive result of this meta-analysis is not supported by a critical analysis of the data. Eleven independent systematic reviews were located. Collectively they failed to provide strong evidence in favour of homeopathy. In particular, there was no condition which responds convincingly better to homeopathic treatment than to placebo or other control interventions. Similarly, there was no homeopathic remedy that was demonstrated to yield clinical effects that are convincingly different from placebo. It is concluded that the best clinical evidence for homeopathy available to date does not warrant positive recommendations for its use in clinical practice. PMID:12492603

Understanding employers' hiring intentions in relation to qualified workers with disabilities: preliminary findings.

PubMed

Fraser, Robert T; Johnson, Kurt; Hebert, James; Ajzen, Icek; Copeland, Jana; Brown, Pat; Chan, Fong

2010-12-01

As part of the planning process for a larger survey study to examine factors affecting employers' intention to hire and hiring of people with disabilities, a series of three semi-structured focus groups were held with key hiring decision makers, such as Human Resources directors, Chief Operating Officers (COOs), or Chief Executive Officers (CEOs) of small, medium, and large Seattle area companies. The chief goals of the focus groups were to elicit and refine the participants' beliefs, normative influences, and perceived control relative to hiring workers with disabilities. Narrative data obtained from the focus group discussion were examined using the Theory of Planned Behavior (TPB) to identify themes expressed by the focus group participants within the context of company size. Themes did vary by company size, but a prevailing concern across all companies related to questions about the efficiency/effectiveness of contact with vocational rehabilitation agencies. For both small- and mid-sized companies, there was a belief that people with disabilities could not do the work or were somehow less qualified. For large companies, convincing departmental and team managers that outreaching workers with disabilities would be a worthwhile hiring practice remained a challenge. The themes derived from this study can be used to help occupational rehabilitation professionals develop educational and marketing interventions to improve employers' attitudes toward hiring and retaining individuals with disabilities.

Clinical characteristics and pregnancy outcomes of Syrian refugees: a case-control study in a tertiary care hospital in Istanbul, Turkey.

PubMed

Erenel, Hakan; Aydogan Mathyk, Begum; Sal, Veysel; Ayhan, Isil; Karatas, Suat; Koc Bebek, Arzu

2017-01-01

We aimed to compare the clinical characteristics and pregnancy outcomes in women who are Syrian refugees and Turkish women who are non-refugees at a maternity center in Istanbul, Turkey. A total of 600 singleton pregnancies who delivered at Sisli Hamidiye Etfal Training and Research Hospital were included in the study. Demographic data, obstetrical history, clinical findings, obstetrical and neonatal outcomes were compared between 300 Syrian refugees and 300 control patients. The Syrian refugee patients were significantly younger than Turkish patients. The percentage of adolescents aged 12-19 years were significantly higher in the Syrian patients (14.3 vs. 5.3 %, p < 0,001). 41.3 % of the refugee patients had no antenatal care. However, this ratio was only 7.7 % for the control group (p < 0.001). Preterm birth rates showed no difference between the groups, however, postterm birth rates were significantly higher in the control group. Low Birthweight (<2500 gr), oligohydramnios, stillbirth and fetal anomaly rates were not different between the two groups. In comparison to non-refugee control patients, refugee women in our study had poor antenatal care but no adverse perinatal outcomes were observed. Further larger multicenter studies may provide more convincing data about obstetric outcomes in the Syrian refugee population as well as adolescent pregnancies in this population.

The effect of locally delivered doxycycline as an adjunctive therapy to scaling and root planing in smokers

PubMed Central

Al Hulami, Hassan; Babay, Nadir; Awartani, Fatin; Anil, Sukumaran

2011-01-01

Background Locally delivered doxycycline is found to be effective in managing periodontitis as an adjunct to scaling and root planing. Aim To evaluate the effect of locally delivered doxycycline (10%) with scaling and root planing in the periodontal treatment of smokers and to compare it with scaling and root planing alone. Methods Twelve smokers with chronic periodontitis and a pocket depth (⩾5 mm) on posterior teeth that bleed on probing were selected. Patients were randomly assigned to scaling and root planing (SRP) or scaling and root planing followed by local application of doxycycline (SRP-D). Plaque, bleeding on probing, gingival recession, clinical attachment level (CAL), and probing depth (PD) were recorded at the baseline, 6 and 12 weeks. Results Both groups showed a significant reduction in Plaque, Bleeding on Probing and pocket depth at 6th and 12th week from the baseline. A statistically significant gain of attachment was observed in both groups after treatment. Even though the doxycycline group showed slightly higher attachment gain it was not statistically significant compared to the control group. Conclusion The observations of the study reveal that the additional benefit of topical application of doxycycline as an adjunct to scaling and root planing in smokers is not convincing. However, further clinical studies may be necessary to substantiate the present observations. PMID:23960508

Prevalence and factors associated to peanut allergy in Mexican school children.

PubMed

Bedolla-Barajas, M; Valdez-López, F; Alcalá-Padilla, G; Bedolla-Pulido, T I; Rivera-Mejia, V; Morales-Romero, J

In our country, the prevalence and the factors associated to peanut allergy are unknown, a health problem that has been emerging worldwide. To establish the prevalence and the factors that are associated to peanut allergy amongst school children. This is a population-based cross-sectional study. We included 756 children aged 6-7 years. The children's parents were questioned about their peanut intake habits. A structured questionnaire was applied, it included questions regarding peanut intake; family and personal history of asthma; rhinitis; and atopic dermatitis. Allergic reactions to peanuts were registered as: probable, convincing and systematic. The statistical analyses included logistical regression models to look for associated factors. Males were 356/756 (47.1%). Peanut allergy prevalence: probable reaction: 14/756 (1.8%), convincing reaction: 8/756 (1.1%) and systemic reaction: 3/756 (0.4%). Through multivariate analysis, the presence of symptoms of allergic rhinitis (OR=4.2 95% CI 1.3-13.2) and atopic dermatitis (OR=5.2; 95% CI 1.4-19.5) during the previous year, showed significant association to probable peanut reaction. The former year, the presence of atopic dermatitis was the only variable that was substantially associated to a convincing reaction (OR=7.5; 95% CI 1.4-38.4) and to a systematic reaction (OR=45.1; 95% CI 4.0-510.0), respectively. The reported prevalence of peanut allergy was consistent with that found in previous studies; symptoms of allergic rhinitis and atopic dermatitis were identified as associated factors to peanut allergy. Copyright © 2016 SEICAP. Published by Elsevier España, S.L.U. All rights reserved.

In re Martin.

PubMed

1993-07-19

The Appellate Court of Michigan established a hierarchical process to determine whether to withhold or withdraw life-sustaining medical treatments from patients who are no longer competent. The court held that terminal illness is only one of the factors to be considered. Only when a patient is shown to lack the requisite capacity to make treatment decisions may clear and convincing evidence of that patient's prior written or oral expression of preference be considered. In the absence of such clear and convincing evidence, substituted judgment or surrogate consent based on trustworthy evidence of the patient's wishes may be employed. If neither standard can be met, only then may the best interests of the patient be considered as a last resort. The court also noted that family members as well as guardians or conservators are appropriate participants in the determination of the medical treatment of such patients. In the case under appeal, there was conflicting testimony about Mr. Martin's earlier verbal statements concerning treatment preferences under various conditions. Also expert medical testimony was in disagreement about the degree of Martin's social interactions, comprehension, and competence. Finally, the case had been brought to the trial court by Martin's mother and sister who sought to remove Martin's wife as legal guardian because they disagreed with her intention to have Martin's artificial nutrition and hydration withdrawn. The appellate court remanded the case to the trial court to consider Martin's capacity to make the decision and, if he were deemed incompetent, to determine whether without clear and convincing evidence of his preferences the decision to withdraw treatment could be exercised by a surrogate decision maker.

Effect of the Oxidant-Antioxidant System in Seminal Plasma on Varicocele and Idiopathic Infertility in Male Humans.

PubMed

Yazar, Hayrullah; Halis, Fikret; Nasir, Yasemin; Guzel, Derya; Akdogan, Mehmet; Gokce, Ahmet

2017-05-01

The aim of this study was to investigate seminal oxidant-antioxidant activity in idiopathic and varicocele infertility in men. Total anti-oxidant capacity (TAC), total oxidant status (TOS), paraoxonase (PON1), aryl esterase (ARE), and total thiol levels (TTL) were measured in seminal plasma with an autoanalyzer. The TOS/TAC ratio was determined as the oxidative stress index (OSI). A histopathological evaluation of the sperm was performed in the andrology laboratory of the hospital. Number, motility, morphology, volume, pH, and leukocytes were evaluated in all samples according to World Health Organization criteria. The three study groups were as follows: G1, males with idiopathic infertility; G2, males with varicocele infertility; and G3, normal healthy males (had fathered a child in the last 2 years). Each group was composed of 36 men (age, 25 - 40 years). The Rel Assay Diagnostics kit was used to determine the levels of the parameters. The study was conducted according to the principles of the declaration of Helsinki and was approved by Sakarya University Medicine Faculty Ethic Committee (e.n: 16214662/050.01.04/07). Statistical significance was assumed if p < 0.05. All statistical evaluations were performed using SPSS (version 20.0 for Windows; SPSS, Inc., Chicago, IL, USA). No differences were detected between the mean values of antioxidant parameters among the three groups (Kruskal-Wallis test). The p-values of the test parameters (TAC, TOS, PON1, ARE, TTL, OSI) are respectively: 0.494, 0.548, 0.068, 0.151, 0.202, 0.873. The antioxidant parameters of all subjects were compared using the MannWhitney U-test in both groups as fertile (G3) and infertile (G1 + G2). The PON1 levels in infertile subjects were significantly higher than those in fertile subjects. There was a statistically significant difference (p = 0.042). The other antioxidant parameters had no statistically significant difference (p > 0.05). The ARE was not performed in group 3 (control) due to a methodological problem. PON1 levels in infertile subjects were significantly higher than those of fertile subjects.

Dentition status, malnutrition and mortality among older service housing residents.

PubMed

Saarela, R K T; Soini, H; Hiltunen, K; Muurinen, S; Suominen, M; Pitkälä, K

2014-01-01

Oral health status and oral health problems can affect eating habits and thus consequently the nutritional status of frail older people. To assess older service house residents' dentition and its associations with nutritional status and eating habits, and as well as to explore the prognostic value of dentition status for mortality. A cross-sectional study with a three-year follow-up. In 2007, we assessed the nutritional status of all residents in service houses in the two cities of Helsinki and Espoo in Finland (N=2188). Altogether 1475 subjects (67%) participated in the study; dentition status data were available for 1369 of them. Using a personal interview and assessment, trained nurses familiar to the resident collected the subjects' demographic data, medical history, functional and cognitive status, information on dentition status, oral symptoms, eating habits and diets. We assessed nutritional status with the Mini Nutritional Assessment (MNA), and retrieved information on mortality from central registers on 6 July 2010. Edentulousness was common; more than half of the residents (52%) had lost all their teeth: 7% (n=94) were totally edentulous without prosthesis (Group 1), 45% (n=614) had removable dentures (Group 2), and 48% (n = 661) of the residents, had some natural teeth left (Group 3). Dentition status was associated with age, gender, education and disability. According to the MNA, 13% were malnourished, 65% were at risk for malnutrition, and 22% were well nourished. Edentulousness without prosthesis was associated with malnutrition, oral symptoms and infrequent use of oral care services. In Group 1, 52% were deceased during follow-up period. The respective figures for Groups 2 and 3 were 48% and 40% (p=0.004). However, in Cox regression analysis adjusted for age, gender, comorbidity and MNA score, dentition status no longer predicted mortality. Edentulousness is still common among older service housing residents. Edentulousness without prosthesis was associated with poor nutritional status, oral symptoms and infrequent use of dental services. These findings suggest the need for co-operation between nursing staff and oral care services.

Remarks on the Acceptance of Proofs: The Case of Some Recently Tackled Major Theorems.

ERIC Educational Resources Information Center

Neubrand, Michael

1989-01-01

Lists five criteria in the acceptance of mathematical theorems, such as understanding, significance, compatibility, reputation, and convincing argument. Concludes that social and language factors are involved in the process of the acceptance. (YP)

A Moment in "The Times": Law Professors and the Court-Packing Plan.

ERIC Educational Resources Information Center

Graham, Kyle

2002-01-01

Discusses how the controversy surrounding Franklin Roosevelt's court-packing plan was crucial in convincing law teachers that engagement with popular controversies through punditry could and indeed should become part of their job description. (EV)

20 CFR 219.35 - Evidence that a marriage has ended.

Code of Federal Regulations, 2010 CFR

2010-04-01

... divorce or annulment; or (2) Evidence of the death (See § 219.23) of a party to the marriage. (b) Other..., the claimant must explain the reason therefor and submit other convincing evidence that the marriage...

E is for energy

NASA Astrophysics Data System (ADS)

O'Raifeartaigh, Cormac

2009-10-01

"Energy, power, 101 FM!" This radio jingle is driving me to distraction. Why are DJs convinced that energy and power are the same thing? Is there some history to this? I do wish the jingle writers would consult an encyclopedia before going public.

20 CFR 422.107 - Evidence requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

....107 Employees' Benefits SOCIAL SECURITY ADMINISTRATION ORGANIZATION AND PROCEDURES General Procedures § 422.107 Evidence requirements. (a) General. An applicant for an original social security number card must submit documentary evidence that the Commissioner of Social Security regards as convincing...

Get in the Swim: Gaining Access to Recreational Facilities.

ERIC Educational Resources Information Center

Richard, Jean-Paul

1980-01-01

The father of a child with osteogenesis imperfecta, an orthopedic condition, recounts his struggles to convince local agencies to operate a swimming program for disabled students. He offers eight guidelines for advocating such programs in other areas. (CL)

Demonstrating Allotropic Modifications of Sulfur.

ERIC Educational Resources Information Center

McCarty, Jillian L.; Dragojlovic, Veljko

2002-01-01

Shows how a common demonstration that consists of slowly heating sulfur powder in a test tube to illustrate sulfur's allotropic modifications can convince students of conclusions about the moon Io which they often find surprising. Describes the demonstration in full. (Author/MM)

20 CFR 422.107 - Evidence requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

....107 Employees' Benefits SOCIAL SECURITY ADMINISTRATION ORGANIZATION AND PROCEDURES General Procedures § 422.107 Evidence requirements. (a) General. An applicant for an original social security number card must submit documentary evidence that the Commissioner of Social Security regards as convincing...

The plaque- and gingivitis-inhibiting capacity of a commercially available essential oil product. A parallel, split-mouth, single blind, randomized, placebo-controlled clinical study.

PubMed

Preus, Hans Ragnar; Koldsland, Odd Carsten; Aass, Anne Merete; Sandvik, Leiv; Hansen, Bjørn Frode

2013-11-01

Studies have reported commercially available essential oils with convincing plaque and gingivitis preventing properties. However, no tests have compared these essential oils, i.e. Listerine(®), against their true vehicle controls. To compare the plaque and gingivitis inhibiting effect of a commercially-available essential oil (Listerine(®) Total Care) to a negative (22% hydro-alcohol solution) and a positive (0.2% chlorhexidine (CHX)) control in an experimental gingivitis model. In three groups of 15 healthy volunteers, experimental gingivitis was induced and monitored over 21 days, simultaneously treated with Listerine(®) Total Care (test), 22% hydro-alcohol solution (negative control) and 0.2% chlorhexidine solution (positive control), respectively. The upper right quadrant of each individual received mouthwash only, whereas the upper left quadrant was subject to both rinses and mechanical oral hygiene. Plaque, gingivitis and side-effects were assessed at day 7, 14 and 21. After 21 days, the chlorhexidine group showed significantly lower average plaque and gingivitis scores than the Listerine(®) and alcohol groups, whereas there was little difference between the two latter. Listerine(®) Total Care had no statistically significant effect on plaque formation as compared to its vehicle control.