Pedagogiikan poluilla - Tapani Innanen uskontokasvattajana

Non peer reviewe

Missionaries as Communicators of Foreign Cultures

Peer reviewe

Tracheal and laryngotracheal resections and reconstructions-a single-centre experience

Background: Surgical resection has proven to be the most effective long-term treatment in managing airway stenoses and has shown to decrease the risk of tumor recurrence and mortality in patients with tumor infiltration to the airways. However, there are only a few Nordic reports on the results of a tracheal resection (TR) and cricotracheal resection (CTR). This study aimed to evaluate the volume and short-term outcome of TR and CTR at our institution. Methods: Retrospective review of patients who underwent TR or CTR between 2004 and 2019 at the Results: Forty-four patients were included, of which 21 (47.7%) underwent surgery for a tumor, whereas 23 (52.3%) were operated for a benign stenosis. The most common tumor type was thyroid carcinoma with tracheal invasion (15.9%). The distance between the upper margin of the stenosis or tumor infiltration and the vocal cords was in median 3 [interquartile range (IQR), 2???5] cm and the median length of resection 2.5 (IQR, 2???3.5) cm. Overall success rate was 75% (no need for reoperation or postoperative intervention). Complications occurred in 20 (45.5%) patients, of which 10 patients were operated for a tumor, and 10 for a benign stenosis. Conclusions: Tracheal and CTRs were effective in treating tracheal and subglottic stenoses with variable etiology. However, complications were common especially following cricotracheal tumor resections. These procedures show a clear need for further centralization due to their complex nature and should therefore be performed primarily at institutes with highly experienced multi-professional teams.Peer reviewe

Influence of EU policy on agricultural nutrient losses and the state of receiving surface waters in Finland

In Finland, the first large-scale efforts to control nutrient loading from agriculture got under way with the introduction of the EU Agri-Environmental Program in 1995. We examined whether these efforts have decreased agricultural nutrient losses and improved the quality of receiving waters. To do so we used monitoring data on fluxes of nutrients and total suspended solids in agricultural catchments in 1990–2004 and on the water quality of agriculturally loaded rivers, lakes and estuaries in 1990–2005. No clear reduction in loading or improvement in water quality was detected. Hydrological fluctuations do not seem to have eclipsed the effects of the measures taken, since there was no systematic pattern in runoff in the period studied. The apparent inefficiency of the measures taken may be due to the large nutrient reserves of the soil, which slowed down nutrient reductions within the period studied. Simultaneous changes in agricultural production (e.g. regional specialisation) and in climate may also have counteracted the effects of agri-environmental measures. The actions to reduce agricultural loading might have been more successful had they focused specifically on the areas and actions that contribute most to the current loading

Me ja muut - muslimitaustaiset turvapaikanhakijat ja kristityt suomalaiset

Peer reviewe

Eurooppalainen uskonnonopettaja

Aineisto on Keskustakampuksen kirjaston digitoimaa ja kirjasto vastaa aineiston käyttöluvist