Auttaako käyttäytymisterapeuttinen ryhmäterapia aggressiivisesti käyttäytyvää nuorta?

HALO-katsausKouluym­pä­ris­tössä toteu­tetut inter­ventiot näyt­tivät onnis­tuvan tavoit­teissaan pa­remmin kuin lai­tos- tai ­po­lik­lii­niset inter­ventiot, mut­ta ai­neistot ja tu­lokset vaihte­levat

Terveysliikunnan vaikutukset ja liikunnan aloittaminen : opasvihkoset opiskelijoille

Sosiaali- ja terveysministeriön mukaan huomattava määrä opiskelijoista ei harrasta terveytensä kannalta riittävästi liikuntaa. Toimeksiantajamme Karelia-ammattikorkeakoulun opiskeluterveydenhuolto on myös huomannut opiskelijoiden liikunnallisen aktiivisuuden vähentyneen ja ylipainon lisääntyneen. Opinnäytetyön tarkoituksena on lisätä opiskelijoiden liikunnallista aktiivisuutta kasvattamalla heidän tietoisuuttaan liikunnan aloittamisesta ja terveysvaikutuksista. Fysioterapiassa terveyttä edistävä ohjaus liittyykin usein nimenomaan liikkumiseen ja sen lisäämiseen. Opinnäytetyömme on toiminnallinen ja sen tavoitteena on tuottaa kirjallisen raportin lisäksi kaksi opasvihkosta opiskeluterveydenhuollon terveysviestinnän tueksi. Opasvihkosista toinen käsittelee liikunnan terveysvaikutuksia ja toinen tarjoaa vinkkejä liikunnan aloittamisen tueksi. Opasvihkoset tulevat Karelia-ammattikorkeakoulun terveydenhoitajien jaettaviksi sekä itsehoitopisteille. Kirjallinen raportti sisältää teoriatietoa liikunnan vaikutuksista terveyteen, liikunnan aloittamisesta, terveysliikunnan suosituksista, liikuntaneuvonnasta sekä istumisen ja liikkumattomuuden haittavaikutuksista. Mahdollisia jatkoideoita voisivat olla opasvihkosten käyttöönoton ja hyödynnettävyyden arviointi, terveysliikuntapäivän suunnittelu ja toteutus opiskelijoille tai liikuntaohjelman suunnittelu inaktiiviselle opiskelijalle.According to the Ministry of Social Affairs and Health a substantial proportion of students does not exercise enough to maintain their health. Our commissioner, Student health care services of Karelia University of Applied Sciences has also noticed the growth of inactivity and obesity of students. The purpose of this thesis is to increase the physical activity of students by raising their awareness of health benefits of exercising. In physiotherapy health-enhancing guidance is often related to increasing physical activity. The goal of this practice-based thesis was to draw up two information leaflets and a written report to support the health promotion of student health care at Karelia UAS. The information leaflets will be available for student health care to hand out for students and they will also be delivered to self-care corners on the campuses. The written report includes theory-based information on the health effects of physical activity, starting physical training, recommendations for health-enhancing physical activity, exercise guidance, health hazards of sitting and inactivity. Possible ideas for further development could include a survey investigating the usability of these two information leaflets, planning and carrying out a physical education day for students or planning an exercise program for inactive students

Gamified physical activation of young men – a Multidisciplinary Population-Based Randomized Controlled Trial (MOPO study)

Abstract Background Inactive and unhealthy lifestyles are common among adolescent men. The planned intervention examines the effectiveness of an interactive, gamified activation method, based on tailored health information, peer networks and participation, on physical activity, health and wellbeing in young men. We hypothesize that following the intervention the physical activation group will have an improved physical activity, as well as self-determined and measured health compared with the controls. Methods/design Conscription-aged men (18 years) attending compulsory annual call-ups for military service in the city of Oulu in Finland (n = 1500) will be randomized to a 6-months intervention (n = 640) or a control group (n = 640) during the fall 2013. A questionnaire on health, health behaviour, diet and wellbeing is administered in the beginning and end of the intervention. In addition, anthropometric measures (height, weight and waist circumference), body composition, grip strength, heart rate variability and aerobic fitness will be measured. The activation group utilizes an online gamified activation method in combination with communal youth services, objective physical activity measurement, social networking, tailored health information and exercise programs according to baseline activity level and the readiness of changes of each individual. Daily physical activity of the participants is monitored in both the activation and control groups. The activation service rewards improvements in physical activity or reductions in sedentary behaviour. The performance and completion of the military service of the participants will also be followed. Discussion The study will provide new information of physical activity, health and health behaviour of young men. Furthermore, a novel model including methods for increasing physical activity among young people is developed and its effects tested through an intervention. This unique gamified service for activating young men can provide a translational model for community use. It can also be utilized as such or tailored to other selected populations or age groups. Trial registration ClinicalTrials.gov Identifier: NCT01376986</p

Information security threats and solutions in the mobile world:The service developer's perspective

This study examines the major information security threats relating to mobile services and solutions to these threats from the service developer's perspective. Research methods employed include interviews with enterprises, literature searches, expert opinions and extensive rounds of commentary. The fact that information security threats also concern mobile services and should be given serious consideration is the most important finding of the study. However, this does not mean information security issues would pose an obstacle to the development or introduction of mobile services. All information security issues need to be addressed at the very outset of the service development process. Methods and technological solutions that may also be utilized in mobile services have already been developed. Sets of instructions safeguarding e.g. the security of actions and processes are less readily available. The major information security threats facing developers of mobile services include the complexity of technological solutions, the illegal copying of content and programs, threats posed by the Internet, the different levels of various players in the service development process, and threats involving the identification of service users and servers and the confidentiality of information. Mobile services also involve other threats; however, since their significance to the service developer greatly depends on the nature of the service under development, it is difficult to assess the risks arising therefrom on a general level. The study describes alternative solutions to information security threats observed. Nevertheless, information security issues need to be examined individually for each service to be developed, as there are no universal solutions for information security. The service development process is addressed separately in the study and the significance of information security is expanded upon at each stage of the process from idea generation to service termination

Clinical-Grade Patches as a Medium for Enrichment of Sweat-Extracellular Vesicles and Facilitating Their Metabolic Analysis

Cell-secreted extracellular vesicles (EVs), carrying components such as RNA, DNA, proteins, and metabolites, serve as candidates for developing non-invasive solutions for monitoring health and disease, owing to their capacity to cross various biological barriers and to become integrated into human sweat. However, the evidence for sweat-associated EVs providing clinically relevant information to use in disease diagnostics has not been reported. Developing cost-effective, easy, and reliable methodologies to investigate EVs’ molecular load and composition in the sweat may help to validate their relevance in clinical diagnosis. We used clinical-grade dressing patches, with the aim being to accumulate, purify and characterize sweat EVs from healthy participants exposed to transient heat. The skin patch-based protocol described in this paper enables the enrichment of sweat EVs that express EV markers, such as CD63. A targeted metabolomics study of the sweat EVs identified 24 components. These are associated with amino acids, glutamate, glutathione, fatty acids, TCA, and glycolysis pathways. Furthermore, as a proof-of-concept, when comparing the metabolites’ levels in sweat EVs isolated from healthy individuals with those of participants with Type 2 diabetes following heat exposure, our findings revealed that the metabolic patterns of sweat EVs may be linked with metabolic changes. Moreover, the concentration of these metabolites may reflect correlations with blood glucose and BMI. Together our data revealed that sweat EVs can be purified using routinely used clinical patches, setting the foundations for larger-scale clinical cohort work. Furthermore, the metabolites identified in sweat EVs also offer a realistic means to identify relevant disease biomarkers. This study thus provides a proof-of-concept towards a novel methodology that will focus on the use of the sweat EVs and their metabolites as a non-invasive approach, in order to monitor wellbeing and changes in diseases