THE FUTURE OF SOCIAL POLICY IN EUROPE:AN ANALYSIS OF ATITUDES TOWARD SOCIAL WELFARE

One of the tasks of social policy is to support economic development. Governments invest in social policy to protect citizens from social risks (for instance, in the labor market). In this sense, economic policy and social policy are strongly linked. The different choices governments have with respect to social policy lead to variations in welfare states. Typically, scholars have divided welfare states into three groups: social democratic, liberal, and continental countries. This study examines citizens’ attitudes toward social policy in 23 European countries, and especially within the three groups of welfare states. Attitudes toward social welfare are divided into two parts: respondents’ opinions regarding national policy and their attitudes toward poverty. The study focuses on the connections between the type of welfare state and its citizens’ attitudes toward social policy. The study also examines whether so-called situational factors (e.g., the level of income inequality, social expenditure, and social insurance) influence the social welfare attitudes of citizens. The data, which were gathered in 2012, are based on the European Social Survey’s (N = 43,897) sixth round. The results show that the situational factors have an important role, especially in how citizens evaluate national social policy. However, simultaneous analyses of all the situational factors and social welfare attitudes suggest that the situational factors have only an indirect influence on attitudes toward poverty, such that respondents’ opinions of national policy have a mediating role. In this sense, the results support a weak interpretation of the influence of situational factors on attitudes toward social welfare. Furthermore, the results show that attitudes toward social welfare are connected to the types of the welfare states, in this analysis, especially in the Nordic (particularly Finland, Norway, and Sweden) and liberal countries (particularly Great Britain and Ireland). In these countries, unlike others, respondents’ opinions regarding national policy and attitudes toward poverty are positively related. However, according to a more detailed analysis, the Nordic and liberal countries can be separated from each other. The group of continental countries was excluded from the final analysis because it seemed not to be a coherent group, as the original welfare-state typology indicated

Employees' attitudes towards welfare technology in substance abuse treatment in Finland

Aim: The significance of welfare and health technology has been highlighted in recent years. However, employees’ attitudes towards welfare technologyin substance abuse treatment have received little attention. This article examines employees’ readiness to introduce welfare technology in substance abuse treatment and their attitudes towards its use. Design: The theoretical framework of this study is based on Ajzen’s (1991, 2001) theory of planned behaviour, and the ongoing discussion about the adoption of new technology in healthcare. The research data (N ¼ 129) were collected in the form of an electronic questionnaire in Finland in 2015. Results: The results are consistent with the theory of planned behaviour and previous studies on the acceptance of information systems in healthcare. Employees’ readiness to introduce new welfare technology applications and devices in substance abuse treatment is influenced by their personal appreciation of welfare technology, the expectations of their colleagues and supervisors, as well as their own perceptions of their capacity to learn to use the applications. Conclusions: The study found some links between demographic factors and cognitions related to welfare technology. In particular, employees with a healthcare background are more inclined to adopt the technology than other employees in substance abuse treatment. In addition, a person’s age has a negative relationship with their perceived technology management. However, age has no significant connection with attitudes and no direct independent effect on the readiness to introduce a new welfare technology. Lastly, the results show that previous positive experiences of welfare technology make it easier to introduce new technologies

Does telomere length predict decline in physical functioning in older twin sisters during an 11-year follow-up?

Leukocyte telomere length (LTL) is known to be associated with mortality, but its association with age-related decline in physical functioning and the development of disability is less clear. This study examined the associations between LTL and physical functioning, and investigated whether LTL predicts level of physical functioning over an 11-year follow-up. Older mono-(MZ) and dizygotic (DZ) twin sisters (n = 386) participated in the study. Relative LTL was measured by qPCR at baseline. Physical functioning was measured by 6-min walking distance and level of physical activity (PA). Walking distance was measured at baseline and at 3-year follow-up. PA was assessed by questionnaire at baseline and at 3- and 11-year follow-ups. The baseline analysis was performed with path models, adjusted with age and within-pair dependence of twin pairs. The longitudinal analysis was performed with a repeated measures linear model adjusted for age and longitudinal within-pair dependence. A nonrandom missing data analysis was utilized. At baseline, in all individuals, LTL was associated with PA (est. 0.14, SE 0.06, p = 0.011), but not with walking distance. Over the follow-up, a borderline significant association was observed between LTL and walking distance (est. 0.14, SE 0.07, p = 0.060) and a significant association between LTL and PA (est. 0.19, SE 0.06, p = 0.001). The results suggest that LTL is associated with PA and may, therefore, serve as a biomarker predicting the development of disability. Longitudinal associations between LTL and PA were observed only when nonrandom data missingness was taken into account in the analysis.Peer reviewe

An In-home Advanced Robotic System to Manage Elderly Home-care Patients' Medications : A Pilot Safety and Usability Study

Purpose: We examined the safety profile and usability of an integrated advanced robotic device and telecare system to promote medication adherence for elderly home-care patients. Methods: There were two phases. Phase I aimed to verify under controlled conditions in a single nursing home (n = 17 patients) that no robotic malfunctions would hinder the device's safe use. Phase II involved home-care patients from 3 sites (n = 27) who were on long-term medication. On-time dispensing and missed doses were recorded by the robotic system. Patients' and nurses' experiences were assessed with structured interviews. Findings: The 17 nursing home patients had 457 total days using the device (Phase I; mean, 26.9 per patient). On-time sachet retrieval occurred with 97.7% of the alerts, and no medication doses were missed. At baseline, Phase II home-dwelling patients reported difficulty remembering to take their medicines (23%), and 18% missed at least 2 doses per week. Most Phase II patients (78%) lived alone. The device delivered and patients retrieved medicine sachets for 99% of the alerts. All patients and 96% of nurses reported the device was easy to use. (C) 2017 The Authors. Published by Elsevier HS Journals, Inc.Peer reviewe

Association between arterial stiffness and walking capacity in older adults

Background and aim Arterial stiffening – a process that is largely due to intimal thickening, collagen disposition or elastin fragmentation – significantly contributes to cardiovascular events and mortality. There is also some evidence that it may negatively affect physical function. This study aimed to evaluate whether arterial stiffness was associated with measures of walking capacity in a large, population-based sample of highly aged older adults. Methods A population-based sample of 910 community-dwelling adults (aged 75, 80, or 85 years) were investigated in a cross-sectional observational study. Pulse wave velocity (PWV), a surrogate marker of arterial stiffness, was estimated based on the oscillometric recording of pulse waves at the brachial artery site. Walking capacity was assessed by 10-meter habitual walking speed, 10-meter maximum walking speed, and six-minute walk distance. We used multiple linear regression models to examine possible associations between PWV and parameters of walking capacity, and we adjusted the models for sex, age, socioeconomic status, anthropometry, physician-diagnosed diseases, prescription medication, smoking history, physical activity, and mean arterial pressure. Continuous variables were modelled using restricted cubic splines to account for potential nonlinear associations. Results Mean (standard deviation) 10-meter habitual walking speed, 10-meter maximum walking speed, and six-minute walk distance were 1.3 (0.2) m/s, 1.7 (0.4) m/s, and 413 (85) m, respectively. The fully adjusted regression models revealed no evidence for associations between PWV and parameters of walking capacity (all p-values >0.05). Conclusion Our results did not confirm previous findings suggesting a potential negative association between arterial stiffness and walking capacity in old age. Longitudinal studies, potentially taking additional confounders into account, are needed to disentangle the complex relationship between the two factors.peerReviewe

Voidaanko aivojen valkean aineen muutoksia ehkäistä?

Aivojen pienten suonten tautiin liittyviä valkean aineen muutoksia voidaan ehkäistä ja jo kehittyneiden muutosten etenemistä hidastaa. Verenpaineen hoitaminen ja tupakoimattomuus ovat keskeisiä, ja ennen kaikkea tulee toimia ajoissa eli ennen mahdollisia laajoja patologisia muutoksia pienissä suonissa. Verenpainetta on syytä mitata ja tarvittaessa hoitaa jo nuoresta aikuisiästä alkaen. Myös kolesterolipitoisuutta pienentävällä hoidolla saattaa olla merkitystä.Peer reviewe

Materials Science and Technology - Nuclear Materials, Advanced Course - Kon-67.5100 Postgraduate Seminar on Engineering Materials - Seminar papers 8 October, 2015

The Engineering materials research group of Department of Engineering Design and Production of Aalto University arranged a postgraduate course on nuclear materials. The course consisted of three day long lecture session given in April 20-22, 2015. Lectures were given by professionals from nuclear power related research institutes (Aalto and VTT), nuclear industry and authority. The course also included a seminar session held October 8, 2015. The seminar session was targeted to postgraduate students, who prepared articles from their field of expertise. This proceeding is the collection of these seminar articles

A comprehensive spatial model for historical travel effort - a case study in Finland

Contributing to multidisciplinary studies of human population history, this paper presents an analysis chain to comprehensively model the historical travel environment in Finland, based on a study of spatial patterns of overall accessibility within the country. We created a spatial historical travel environment model over the whole country using high-quality terrain and landscape spatial data, combined with information from historical sources that characterize the landscape in terms of travel effort given the environmental and human-related factors current up until the late 19th century. Spatial analyses of historical travel effort based on the travel environment model indicate travel speeds for different parts of the country, ranging from 0.6 to 5.3 km/h. This is nearly a tenfold range, potentially highly significant for studies relying on historical travel effort and contacts between population groups in Finland. The results show that the overall travel effort in southern Finland is significantly smaller than in the north: almost all areas in southern Finland have average travel speeds above 3 km/h, whereas the average travel speeds below 2.5 km/h are typical in the north. A more detailed study using random 100 km transects highlights the variability of the least-cost routes in different landscapes and between different source data combinations in each cost surface. The paper identifies great potential in combining the existing spatial data archives with archaeological, linguistic, and genetic data in a GIS analysis, to study the travel effort and its impact on the observed spatial patterns of languages, genetic traits, and archaeological findings

Overexpression of HSP27 and HSP70 is associated with decreased survival among patients with esophageal adenocarcinoma

BACKGROUND Overexpression of heat shock proteins (HSPs) is associated with several malignancies and contributes to the development, progression, and metastasis of cancer, in addition to the inhibition of cellular death. In recent years, there has been active research into using HSP inhibitors in several malignancies. Due to the poor prognosis of esophageal adenocarcinoma (EAC), it would be valuable to find new biomarkers for the development of cancer treatments. AIM To evaluate the expressions of HSP27 and HSP70 and their effect on survival in EAC. METHODS Immunohislochemical analyses and evaluations of HSP27 and HSP70 expression were performed on all available samples from 93 patients diagnosed with EAC between 1990 and 2007 at two university hospitals. Fifteen cases with Barrett's metaplasia and 5 control cases from the same patient population were included in the analysis. HSP expression was quantitatively assessed and classified as high or low. Kaplan-Meier analyses and Cox regression models adjusting for age and sex as well as tumor site, stage, and grade were used to evaluate the effect on survival. RESULTS Tumor stage and surgical treatment were the main prognostic factors. High HSP27 expression in cancer cases was a strong negative predictive factor, with a mean survival of 23 mo compared to the 49 mo in cases with a low expression (P = 0.018). The results were similar for HSP70, with a poorer survival of 17 mo in cases with high HSP70 expression, in contrast to 40 mo (P = 0.006) in cases with a low expression. A Cox regression survival analysis was performed, adjusting for possible confounding factors, and higher HSP27 and HSP70 expressions remained an independent negative prognostic factor. The HSPs' correlation with survival was not affected by cancer treatments. When the analysis was adjusted for all factors, the odds ratios for HSP27 and HSP70 were 3.3 (CI: 1.6-6.6, P = 0.001) and 2.2 (CI: 1.2-3.9, P = 0.02), respectively. CONCLUSION HSP27 and HSP70 overexpression is associated with poor survival in EAC, which is, to the best of our knowledge, reported for the first time.Peer reviewe