61 research outputs found
Luonto lainsäädännössä sata vuotta
Get PDFLuonnon Tutkija 4/23 pääkirjoitus: Luonto lainsäädännössä sata vuott
Hävitys ja hyvitys – vaihtokauppaa luonnonarvoilla
Get PDFArkkitehti Reima Pietilä kirjoitti vuonna 1960 Ylioppilaslehteen mielipiteensä Pentti Linkolan esseestä Runo-Suomi vai hyvinvointivaltio, jossa Linkola maalaili leveällä pensselillä nähtäväksi näkemyksensä teollisuusyhteiskunnan turmiollisuudesta ja hänen omasta ihannemaailmastaan. Linkolan kirjoitus sai vastakirjoitusvyöryn päälleen
The role of landscape patterns and land-use history in the composition of bird assemblages in Mediterranean and boreal forest ecosystems
Get PDFEn l'ecologia del paisatge sovint es debaten dues qüestions rellevants: en primer lloc, com l'estructura del paisatge afecta els processos ecològics, i, en segon lloc, com els canvis en l'estructura del paisatge afecten aquests mateixos processos ecològics al llarg del temps. La intenció d'aquest treball és descriure i discutir el paper de les fases naturals i històriques en els biomes boreals i mediterranis
Cost-effectiveness analysis of guidelines for antihypertensive care in Finland
Get PDF<p>Abstract</p> <p>Background</p> <p>Hypertension is one of the major causes of disease burden affecting the Finnish population. Over the last decade, evidence-based care has emerged to complement other approaches to antihypertensive care, often without health economic assessment of its costs and effects. This study looks at the extent to which changes proposed by the 2002 Finnish evidence-based Current Care Guidelines concerning the prevention, diagnosis, and treatment of hypertension (the ACCG scenario) can be considered cost-effective when compared to modelled prior clinical practice (the PCP scenario).</p> <p>Methods</p> <p>A decision analytic model compares the ACCG and PCP scenarios using information synthesised from a set of national registers covering prescription drug reimbursements, morbidity, and mortality with data from two national surveys concerning health and functional capacity. Statistical methods are used to estimate model parameters from Finnish data. We model the potential impact of the different treatment strategies under the ACCG and PCP scenarios, such as lifestyle counselling and drug therapy, for subgroups stratified by age, gender, and blood pressure. The model provides estimates of the differences in major health-related outcomes in the form of life-years and costs as calculated from a 'public health care system' perspective. Cost-effectiveness analysis results are presented for subgroups and for the target population as a whole.</p> <p>Results</p> <p>The impact of the use of the ACCG scenario in subgroups (aged 40–80) without concomitant cardiovascular and related diseases is mainly positive. Generally, costs and life-years decrease in unison in the lowest blood pressure group, while in the highest blood pressure group costs and life-years increase together and in the other groups the ACCG scenario is less expensive and produces more life-years. When the costs and effects for subgroups are combined using standard decision analytic aggregation methods, the ACCG scenario is cost-saving and more effective.</p> <p>Conclusion</p> <p>The ACCG scenario is likely to reduce costs and increase life-years compared to the PCP scenario in many subgroups. If the estimated trade-offs between the subgroups in terms of outcomes and costs are acceptable to decision-makers, then widespread implementation of the ACCG scenario is expected to reduce overall costs and be accompanied by positive outcomes overall.</p
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