Lifelong Religion as Habitus

In this book, Helena Kupari examines the lived religion of elderly Finnish Orthodox Christian women, displaced from Karelia in the aftermath of the Second World War, through an innovative reading and application of Pierre Bourdieu’s practice theory. Readership: Scholars and students interested in women’s religion, minority religion, religion and migration, Orthodox Christianity in Finland, and Pierre Bourdieu’s social theory as applied to lived religion

Lasten ja nuorten suun terveydenhuollon toimintamalli Korpilahden-Muuramen terveydenhuollon kuntayhtymässä

Suun terveyden ennaltaehkäisevä työ on tärkeää. Opinnäytteen tarkoituksena oli kehittää toimintamalli lasten ja nuorten suun terveydenedistämisen työtä tekeville ammattilaisille Korpilahden – Muuramen terveydenhuollon kuntayhtymässä. Uuden toimintamallin avulla voidaan lisätä lasten ja nuorten suun terveyden hyvinvointia. Tarkoituksena on selkeyttää työnjakoa eri toimijoiden välillä ja vaikuttaa vanhempien ja lasten asenteisiin hampaiden hoitoa kohtaan. Kehitystehtävän ensimmäinen vaihe keväällä 2009 oli tutkimusten ja lähdekirjallisuuden kartoitusta lasten ja nuorten suun terveyden aihealueelta. Se loi perustan yhdessä toimeksiantajan aikaisemman toimintamallin kanssa. Uusi toimintamalli kehittyi kevään 2009 aikana. Toimintamalliin haluttiin käytännöntyötä tekevien näkökulma, joten laadittiin kyselykaavake SWOT-analyysin pohjalta. Kysely lähetettiin kolmelle hammaslääkärille, kahdelle suuhygienistille, yhdelle hammashoitajalle sekä kahdelle neuvolaterveydenhoitajalle ja kahdelle kouluterveydenhoitajalle. Lisäksi kahdelle pienten lasten ja nuorten vanhemmille laadittiin oma kysely. Valmis toimintamalli esitettiin toimeksiantajalle syksyllä 2010. Tulosten perusteella saatiin tieto, että yhteistyö eri ammattiryhmien välillä toimii hyvin Korpilahdella ja Muuramessa. Asiakkaiden ja henkilökunnan motivoiminen on haastavaa. Paineita työhön tuo jatkuva aikapula ja kiire. Lisäksi huolena on lasten ja nuorten heikentynyt suun terveys ja asenne hammashuoltoa kohtaan. Mahdollisuutena pidettiin terveyskeskusten yhdistymistä vuoden 2011 alusta lähtien. Tulevaisuudessa voitaisiin järjestää koulutusta toimintamallin pohjalta lisäämällä erityisesti terveydenhoitajien suun terveyden tietoa.Preventive work in dental health care is important. The goal for this thesis was to develop a new standard of activity for employees who work in the preventive dental health care of children and adolescents in the public health service federation of municipalities of Korpilahti and Muurame. With the new standard of activity it is possible to improve dental health well-being for children and adolescents. The purpose of the standard is to clarify the duties of the different actors and also to effect on the parent´s and children’s attitudes towards dental health care. The first step of this development work in the spring 2009 was to study previous research and review reference literature related to the dental health care of children and adolescents. This together with the commissioner’s former standard of activity gave the foundation for the development work. A new stan-dard of activity was created during the spring 2009. There was a need to include the point of view of the hands-on workers, so a questionnaire was created based on a SWOT-analysis. The questionnaire was sent to three dentist, two dental hygienists, one dental assistant and to four public health nurses. There was also a special inquiry for two families with small children. The new standard of activity was presented to the commissioner in the autumn 2010. According to the results, cooperation between the different professional groups works well in Korpilahti and Muurame. Motivating the clients and personnel is challenging. Lack of time and rush causes more pressure to the work. The reduced dental health and the attitudes of children and adolescents form a further challenge to the work. The consolidation of health care centres in the beginning of 2011 was seen as opporturnity. In future it could be possible to organise education for public health nurses on the new standard of activity so as to increase oral health care knowledge

Lived Religion and the Religious Field

In the study of lived religion, the focus on laypeople as religious agents can result in the simplistic juxtaposition of religion-as-practised by individuals and religion-as-prescribed by institutions. This perspective leads to analyses that over-emphasize agency and overlook the embeddedness of religious persons in intricate power relations that expand beyond the institution(s) closest to them. I propose that Pierre Bourdieu's social theory, particularly as related to the religious field, offers tools for tackling this issue. While Bourdieu's work has been criticized for relegating the laity to the status of passive consumers of religious goods, his theorizations can also be employed to produce nuanced micro-level accounts that prioritize laypeople's practical knowledge of the field and the positions they take within it. Based on my case study of older Finnish women's normative assessments related to religion, I demonstrate how scholars can investigate the role which their informants' histories and investments within the religious field play in their religion-as-lived. The women in my study, lifelong members of Orthodox or Lutheran churches, defended their positions in the increasingly individualistic Finnish religious field through an emphasis on childhood socialization as the foundation of 'proper' religion.Peer reviewe

The challenging diagnosis of isolated cardiac sarcoidosis

Non peer reviewe

Introduction

Non peer reviewe

Introduction: Theorizing Lived Religion

The introduction to this special issue describes the emergence of the lived religion approach in relation to other approaches within the study of religion and sociology of religion as a way of going beyond the emphasis on texts and institutions, on the one hand, and the focus on the fate of religion in modern times, on the other hand. It also introduces the aim of this special issue, namely ‘theorizing’ lived religion. To do this, the authors summarize how the founders of this approach have conceptualized the topic of ‘lived religion’, adjacent approaches, and the theoretical underpinnings of their work. The authors propose three directions to develop the contribution a lived religion approach might make to theorizing: 1) explicating what is meant by ‘religion’ by drawing on work that studies religion as a category; 2) explicating how concepts and theories are developed based on lived religion research, with particular emphasis on the way tensions between modernist, disenchanting epistemologies and the enchanted, supernatural worlds of practitioners may inform theory and methodological reflection; 3) anchoring the doing of research, emphasizing the full research cycle in religious studies programs so that students have a solid basis for learning how to move back and forth between carrying out original research and conceptual/theoretical work

External validation of the ROSC after cardiac arrest (RACA) score in a physician staffed emergency medical service system

Background: The return of spontaneous circulation (ROSC) after cardiac arrest (RACA) score may have implications as a quality indicator for the emergency medical services (EMS) system. We aimed to validate this score externally in a physician staffed urban EMS system. Methods: We conducted a retrospective cohort study. Data on resuscitation attempts from the Helsinki EMS cardiac arrest registry from 1.1.2008 to 31.12.2010 were collected and analyzed. For each attempted resuscitation the RACA score variables were collected and the score calculated. The endpoint was ROSC defined as palpable pulse over 30 s. Calibration was assessed by comparing predicted and observed ROSC rates in the whole sample, separately for shockable and non-shockable rhythm, and separately for resuscitations lead by a specialist, registrar or medical supervisor (i.e., senior paramedic). Data are presented as medians and interquartile ranges. Statistical testing included chi-square test, the Mann-Whitney U test, Hosmer-Lemeshow goodness of fit test and calculation of 95% confidence intervals (CI) for proportions. Results: A total of 680 patients were included of whom 340 attained ROSC. The RACA score was higher in patients with ROSC (0.62 [0.46-0.69] than in those without (0.46 [0.36-0.57]) (p <0.001). Observed against predicted ROSC indicated reasonable calibration overall (p = 0.30), with better calibration in patients with a shockable initial rhythm (p = 0.75) than in patients with a non-shockable rhythm (p = 0.04). There was no statistical difference between observed and predicted ROSC rates in resuscitations attended by a specialist (50% vs 53%, 95% CI 45-55) or registrar (55% vs 53%, 95% CI 48-62), but rates were lower than predicted in resuscitations lead by a medical supervisor (36% vs 49%, 95% CI 25-47). Discussion: Developing a practical severity-of-illness scoring system for out-of-hospital cardiac arrest patients would allow patient heterogeneity adjustment and measurement of quality of care in analogy to commoly used severity-of-illness-scores developed for the similar purposes for the general intensive care unit population. However, transferring RACA score to another country with different population and EMS system might affect the performance and generalizability of the score. Conclusions: This study found a good overall calibration and moderate discrimination of the RACA score in a physician staffed urban EMS system which suggests external validity of the score. Calibration was suboptimal in patients with a non-shockable rhythm which may due to a local do-not-attempt-resuscitation policy. The lower than expected overall ROSC rate in resuscitations attended by medical supervisors requires further study.Peer reviewe

Women as agents of glocalization in the Orthodox Church of Finland

Peer reviewe

Coping with Loss of Homeland through Orthodox Christian Processions : Contemporary Practices among Setos, Karelians, and Skolt Sámi in Estonia and Finland

Peer reviewe

Alkoholi ja sydän

Summary: Alcohol and the heart