Oppilaan hyvinvoinnin edistäminen luokanopettajan työssä

Tiivistelmä. Koulu on tärkeässä osassa tukemassa oppilaan hyvinvointia. Perusopetuksen opetussuunnitelman perusteissa (2014) painotetaan Suomen sitoutuneisuutta kansainvälisiin ihmisoikeussopimuksiin, joiden mukaan lasten hyvinvoinnista ja oppimisesta on huolehdittava. Luokanopettajalla on merkittävä rooli oppilaan hyvinvoinnin tukemisessa. Tämän pro gradu -tutkielman tavoitteena on ollut selvittää luokanopettajan näkemyksiä oppilaan hyvinvoinnin koostumisesta sekä luokanopettajan keinoja oppilaan hyvinvoinnin edistämiseksi. Tutkimuksen teoreettisessa viitekehyksessä hyvinvointia on tarkasteltu tarveteorioiden näkökulmasta. Hyvinvointi on jaettu teoriataustassa fyysisen, sosiaalisen ja psyykkisen hyvinvoinnin osa-alueisiin. Lisäksi teoriataustassa on esitelty turvallisuutta osana hyvinvointia sekä luotu katsaus koulun hyvinvointitehtävään. Tutkimus on toteutettu laadullisena tutkimuksena. Aineisto on kerätty sähköisellä, avoimia kysymyksiä sisältävällä kyselylomakkeella luokanopettajilta lokakuussa 2020. Kyselyyn vastasi kaikkiaan 14 luokanopettajana työskentelevää henkilöä. Aineisto on analysoitu teoriaohjaavan sisällönanalyysin avulla. Tutkimustulosten pohjalta esitetään oppilaan hyvinvoinnin koostuvan fyysisistä perustarpeista, sosiaalisista suhteista, psyykkisestä tilasta sekä turvallisuudesta. Luokanopettajien keinoja hyvinvoinnin edistämiseksi tutkimuksen tulosten mukaan ovat liikunnan lisääminen koulupäiviin, luokan ryhmäyttäminen ja oppilaan kohtaamisen tavat. Turvallinen kasvuympäristö rakentuu luokanopettajien kokemuksen mukaan henkilökunnan toiminnasta ja hyvinvoinnista. Koulu turvallisena kasvuympäristönä on myös sellainen, jossa oppilas tuntee olonsa hyväksi ja turvalliseksi sekä pystyy luottamaan koulun aikuisiin. Lisäksi muita luokanopettajien keinoja hyvinvoinnin edistämiseksi ovat keskustelu ja kannustaminen, luokan ilmapiiriin vaikuttaminen sekä kiusaamiseen puuttuminen. Opettajat tekevät tiiviisti yhteistyötä kotien sekä kuraattorin kanssa oppilaan hyvinvoinnin edistämiseksi. Tutkimuksessa on noudatettu laadulliselle tutkimukselle yleisiä eettisiä periaatteita ja luotettavuutta. Tutkimusta tehdessämme olemme pyrkineet toimimaan eettisesti, johdonmukaisesti ja tarkastelemaan saamiamme tutkimustuloksia kriittisesti sekä viittaamaan aiempaan tutkimukseen

Healthcare costs and outcomes in adult patients with juvenile idiopathic arthritis : a population-based study

Objectives: Evidence of the economic burden and long-term outcomes of juvenile idiopathic arthritis (JIA) remains scarce. Our aim was to explore healthcare costs and long-term outcomes in adult patients with JIA. Method: We identified all adult patients (>= 18 years) with JIA who visited Jyvaskyla Central Hospital rheumatology unit between May 2007 and March 2016. We considered individual medians of time-dependent clinical variables. These data were linked to administrative data from the area from the fiscal year 2014, which include information on all public healthcare contacts. Healthcare utilization is presented as direct costs in euros (EUR). Factors affecting direct costs were assessed with a generalized linear model. Results: In 218 patients, median 28-joint Disease Activity Score with three variables (DAS28-3) was = 30 years, and median Health Assessment Questionnaire (HAQ) score was <0.5 in 85.7% and 45.4%, respectively. In the utilization data (four municipalities, 137 patients), the total annual health services-related direct costs were 432 257 EUR (mean = 3155 EUR/patient/year). Thirty-six patients (26.3%) used biological disease-modifying anti-rheumatic drugs (bDMARDs) in 2014 for a total of 355 months, and the annual cost of bDMARDs was estimated at 355 000 EUR. Those with active disease had mean costs 2.4-fold higher than those with low or no disease activity. A one-point increase in median raw HAQ incurred an average 228 EUR increase in annual costs (p = 0.03). Conclusion: Most adult patients with JIA seem to manage well with their arthritis, bearing in mind that there still is room for improvement in long-term outcomes.Peer reviewe

Weathering of Viama?o granodiorite, south Brazil : Part 2-Initial porosity of un-weathered rock controls porosity development in the critical zone

The development of porosity during rock weathering is a key process controlling nutrients release, water holding capacity available for plants and water flow. Here we used X-ray Computed Tomography (XRCT) and 14C PolyMethylMethAcrylate (PMMA) autoradiography to show how cracks are created and enlarged during initial weathering stages (saprock and saprolite) of granodiorite in southern Brazil (Viama similar to o - RS). The physical evolution is characterized by imaging the pore network, using 14C-PMMA and XRCT methods. Combined with bulk porosity measurements, they highlight the increase in porosity with the degree of weathering (un-weathered rock phi = 1.66 %, saprolite phi = 11.7 %). This increase is related to the joint increase of the density of the cracks (unweathered rock D = 0.28 mm-1, saprolite D = 0.94 mm-1) and of the average opening of the microcracks (unweathered rock w = 2.4 mu m, saprolite w = 3.9 mu m) and macrocracks (un-weathered rock w = 176 mu m, saprolite w = 400 mu m). However, these average crack openings do not account for the variability of the openings that govern the flows, characterized here by specific distribution ranging from the submicrometre to the centimetre scale. The results highlight that the pore network of the un-weathered rock plays a key role in the initial stages or incipient weathering. The density and aperture and cracks increase following the subcritical cracking concept and new pores are formed by chemo-mechanical processes. The presence/absence of initial fractures in the regolith is certainly a key parameter controlling the weathering of different rock types (mafic vs felsic).Peer reviewe

Psoriatic arthritis, axial spondyloarthritis and rheumatoid arthritis in Norway : nationwide prevalence and use of biologic agents

Objective To estimate the prevalence of psoriatic arthritis (PsA), axial spondyloarthritis (axSpA) and rheumatoid arthritis (RA) and the use of biologic agents in these diseases in Norway. Methods From the Norwegian Patient Registry (NPR), we identified as PsA, axSpA and RA patients >= 18 years those with >= 2 recorded episodes with diagnostic coding for index disease (L40.5, M07.0-M07.3 for PsA; M45, M46.0, M46.1, M46.8 and M46.9 for axSpA; M05-M06 for RA). We calculated the point prevalence of PsA, axSpA and RA as per the 1(st) of January 2017 in the Norwegian adult population (age >= 18). Dispensed disease-modifying antirheumatic drug (DMARD) prescriptions were obtained from the Norwegian Prescription Database and biologic DMARDs given in hospitals from the NPR. Results The point prevalence of PsA, axSpA, RA, and any of these diseases in total was 0.46%, 0.41%, 0.78%, and 1.56%, respectively. Among women, the prevalence of PsA, axSpA, and RA was 0.50%, 0.37%, and 1.10%, and among men 0.43%, 0.45%, and 0.46%, respectively. In 2017, 27.3% of RA patients, 25.7% of PsA patients and 35.1% of axSpA patients used biologic DMARDs. Treatment with biologics was more frequent in younger age groups in all three diseases, and became more infrequent especially after age >= 55 years. Conclusion In Norway, the combined prevalence of PsA, axSpA, and RA was over 1.5%. Reflecting the good overall access to highly effective but costly biologic treatments, more than a fourth of these patients used biologic agents, which corresponds to over 0.4% of Norwegian adult population.Peer reviewe

Petrophysics of Chicxulub Impact Crater's Peak Ring

A new set of physical property measurements was undertaken on 29 peak-ring samples from the IODP-ICDP Expedition 364. Among the studied lithologies, the dominant one recovered in the peak ring consists of shocked granitoid rocks (19 samples). Porosity measurements with two independent methods (triple weight and C-14-PMMA porosity mapping) concur and bring new observations on the intensity and distribution of fracturing and porosity in these shocked target rocks. Characterization of the porous network is taken a step further with two other independent methods (electrical and permeability measurements). Electrical properties such as the cementation exponent (1.59 m < 1.87) and the formation factor (21 F < 103) do not compare with other granites from the published literature; they point at a type of porosity closer to clastic sedimentary rocks than to crystalline rocks. Permeabilities of the granitoid rocks range from 0.1 to 7.1 mD under an effective pressure of similar to 10 MPa. Unlike other fresh to deformed and altered granitoid rocks from the literature compared in this study, this permeability appears to be relatively insensitive to increasing stress (up to similar to 40 MPa), with implications for the nature of the porous network, again, behaving more like cemented clastic rocks than fractured crystalline rocks. Other analyzed lithologies include suevite and impact melt rocks. Relatively low permeability (10(-3) mD) measured in melt-rich facies suggest that, at the matrix scale, these lithologies cutting through more permeable peak-ring granitoid rocks may have been a barrier to fluid flow, with implications for hydrothermal systems.Peer reviewe

The effects of CO2, climate and land-use on terrestrial carbon balance, 1920-1992: An analysis with four process-based ecosystem models

The concurrent effects of increasing atmospheric CO2 concentration, climate variability, and cropland establishment and abandonment on terrestrial carbon storage between 1920 and 1992 were assessed using a standard simulation protocol with four process-based terrestrial biosphere models. Over the long-term(1920–1992), the simulations yielded a time history of terrestrial uptake that is consistent (within the uncertainty) with a long-term analysis based on ice core and atmospheric CO2 data. Up to 1958, three of four analyses indicated a net release of carbon from terrestrial ecosystems to the atmosphere caused by cropland establishment. After 1958, all analyses indicate a net uptake of carbon by terrestrial ecosystems, primarily because of the physiological effects of rapidly rising atmospheric CO2. During the 1980s the simulations indicate that terrestrial ecosystems stored between 0.3 and 1.5 Pg C yr−1, which is within the uncertainty of analysis based on CO2 and O2 budgets. Three of the four models indicated (in accordance with O2 evidence) that the tropics were approximately neutral while a net sink existed in ecosystems north of the tropics. Although all of the models agree that the long-term effect of climate on carbon storage has been small relative to the effects of increasing atmospheric CO2 and land use, the models disagree as to whether climate variability and change in the twentieth century has promoted carbon storage or release. Simulated interannual variability from 1958 generally reproduced the El Niño/Southern Oscillation (ENSO)-scale variability in the atmospheric CO2 increase, but there were substantial differences in the magnitude of interannual variability simulated by the models. The analysis of the ability of the models to simulate the changing amplitude of the seasonal cycle of atmospheric CO2 suggested that the observed trend may be a consequence of CO2 effects, climate variability, land use changes, or a combination of these effects. The next steps for improving the process-based simulation of historical terrestrial carbon include (1) the transfer of insight gained from stand-level process studies to improve the sensitivity of simulated carbon storage responses to changes in CO2 and climate, (2) improvements in the data sets used to drive the models so that they incorporate the timing, extent, and types of major disturbances, (3) the enhancement of the models so that they consider major crop types and management schemes, (4) development of data sets that identify the spatial extent of major crop types and management schemes through time, and (5) the consideration of the effects of anthropogenic nitrogen deposition. The evaluation of the performance of the models in the context of a more complete consideration of the factors influencing historical terrestrial carbon dynamics is important for reducing uncertainties in representing the role of terrestrial ecosystems in future projections of the Earth system

Ensuring meiotic DNA break formation in the mouse pseudoautosomal region

In mice, the pseudoautosomal region of the sex chromosomes undergoes a dynamic structural rearrangement to promote a high rate of DNA double-strand breaks and to ensure X-Y recombination. Sex chromosomes in males of most eutherian mammals share only a small homologous segment, the pseudoautosomal region (PAR), in which the formation of double-strand breaks (DSBs), pairing and crossing over must occur for correct meiotic segregation(1,2). How cells ensure that recombination occurs in the PAR is unknown. Here we present a dynamic ultrastructure of the PAR and identify controlling cis- and trans-acting factors that make the PAR the hottest segment for DSB formation in the male mouse genome. Before break formation, multiple DSB-promoting factors hyperaccumulate in the PAR, its chromosome axes elongate and the sister chromatids separate. These processes are linked to heterochromatic mo-2 minisatellite arrays, and require MEI4 and ANKRD31 proteins but not the axis components REC8 or HORMAD1. We propose that the repetitive DNA sequence of the PAR confers unique chromatin and higher-order structures that are crucial for recombination. Chromosome synapsis triggers collapse of the elongated PAR structure and, notably, oocytes can be reprogrammed to exhibit spermatocyte-like levels of DSBs in the PAR simply by delaying or preventing synapsis. Thus, the sexually dimorphic behaviour of the PAR is in part a result of kinetic differences between the sexes in a race between the maturation of the PAR structure, formation of DSBs and completion of pairing and synapsis. Our findings establish a mechanistic paradigm for the recombination of sex chromosomes during meiosis.Peer reviewe

Genetic Crossovers Are Predicted Accurately by the Computed Human Recombination Map

Hotspots of meiotic recombination can change rapidly over time. This instability and the reported high level of inter-individual variation in meiotic recombination puts in question the accuracy of the calculated hotspot map, which is based on the summation of past genetic crossovers. To estimate the accuracy of the computed recombination rate map, we have mapped genetic crossovers to a median resolution of 70 Kb in 10 CEPH pedigrees. We then compared the positions of crossovers with the hotspots computed from HapMap data and performed extensive computer simulations to compare the observed distributions of crossovers with the distributions expected from the calculated recombination rate maps. Here we show that a population-averaged hotspot map computed from linkage disequilibrium data predicts well present-day genetic crossovers. We find that computed hotspot maps accurately estimate both the strength and the position of meiotic hotspots. An in-depth examination of not-predicted crossovers shows that they are preferentially located in regions where hotspots are found in other populations. In summary, we find that by combining several computed population-specific maps we can capture the variation in individual hotspots to generate a hotspot map that can predict almost all present-day genetic crossovers