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Search Results: 1 - 10 of 685 matches for " Mika Hakala "
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Hospitalisation Utilisation and Costs in Schizophrenia Patients in Finland before and after Initiation of Risperidone Long-Acting Injection
Christian Asseburg,Michael Willis,Mickael L thgren,Niko Sepp l ,Mika Hakala,Ulf Persson
Schizophrenia Research and Treatment , 2012, DOI: 10.1155/2012/791468
Abstract: Objectives. Quantify changes in hospital resource use in Finland following initiation of risperidone long-acting injection (RLAI). Materials and Methods. A retrospective multi-center chart review (naturalistic setting) was used to compare annual hospital bed-days and hospital episodes for 177 schizophrenia patients (mean age 47.1 years, 52% female, 72% hospitalized) before and after initiation of RLAI (between January 2004 and June 2005) using the within-patient “mirror-image” study design. The base case analytical approach allocated hospital episodes overlapping the start date entirely to the preinitiation period. In order to investigate the impact of inpatient care ongoing at baseline, the change in bed-days was also estimated using an alternative analytical approached related to economic modelling. Results. In the conventional analysis, the mean annual hospitalisation costs declined by €11,900 and the number of bed-days was reduced by 40%, corresponding to 0.19 fewer hospital episodes per year. The reductions in bed-days per patient-year were similar for patients switched to RLAI as inpatients and as outpatients. In the modelling-based analysis, an 8% reduction in bed-days per year was observed. Conclusion. Despite uncertainty in the choice of analytic approach for allocating inpatient episodes that overlapping this initiation, consistent reductions in resource use are associated with the initiation of RLAI in Finland.
Hospitalisation Utilisation and Costs in Schizophrenia Patients in Finland before and after Initiation of Risperidone Long-Acting Injection
Christian Asseburg,Michael Willis,Mickael L?thgren,Niko Sepp?l?,Mika Hakala,Ulf Persson
Schizophrenia Research and Treatment , 2012, DOI: 10.1155/2012/791468
Abstract: Objectives. Quantify changes in hospital resource use in Finland following initiation of risperidone long-acting injection (RLAI). Materials and Methods. A retrospective multi-center chart review (naturalistic setting) was used to compare annual hospital bed-days and hospital episodes for 177 schizophrenia patients (mean age 47.1 years, 52% female, 72% hospitalized) before and after initiation of RLAI (between January 2004 and June 2005) using the within-patient “mirror-image” study design. The base case analytical approach allocated hospital episodes overlapping the start date entirely to the preinitiation period. In order to investigate the impact of inpatient care ongoing at baseline, the change in bed-days was also estimated using an alternative analytical approached related to economic modelling. Results. In the conventional analysis, the mean annual hospitalisation costs declined by €11,900 and the number of bed-days was reduced by 40%, corresponding to 0.19 fewer hospital episodes per year. The reductions in bed-days per patient-year were similar for patients switched to RLAI as inpatients and as outpatients. In the modelling-based analysis, an 8% reduction in bed-days per year was observed. Conclusion. Despite uncertainty in the choice of analytic approach for allocating inpatient episodes that overlapping this initiation, consistent reductions in resource use are associated with the initiation of RLAI in Finland. 1. Introduction Schizophrenia is a serious mental illness causing significant social or occupational dysfunction. With an annual global incidence of 8 to 40 individuals per 100,000 per year [1], the total costs of treating schizophrenia are high [2] and may be as much as 3% of all health expenditures [3]. Most of the direct costs of schizophrenia (79%) result from hospitalisation or other residential care [3], thus a principal aim of treatment in schizophrenia patients is to prevent relapse, reduce the requirements for in-hospital treatment, and enable patients to lead near-normal lives. Pharmacological treatments for schizophrenia have been available since the mid-1950s. The first class of medication, “typical antipsychotics,” is effective at treating psychotic symptoms but, while still used widely, is associated with problematic extrapyramidal side effects. The second generation of drugs, “atypical antipsychotics,” became available in the 1990s and may cause fewer extrapyramidal side effects, though medication noncompliance continues to be common in schizophrenia patients in part because of serious metabolic concerns. Long-acting
Molecular coupling of light with plasmonic waveguides
Anton Kuzyk,Mika Pettersson,J. Jussi Toppari,Tommi K. Hakala,Hanna Tikkanen,Henrik Kunttu,Paivi Torma
Physics , 2007, DOI: 10.1364/OE.15.009908
Abstract: We use molecules to couple light into and out of microscale plasmonic waveguides. Energy transfer, mediated by surface plasmons, from donor molecules to acceptor molecules over ten micrometer distances is demonstrated. Also surface plasmon coupled emission from the donor molecules is observed at similar distances away from the excitation spot. The lithographic fabrication method we use for positioning the dye molecules allows scaling to nanometer dimensions. The use of molecules as couplers between far-field and near-field light offers the advantages that no special excitation geometry is needed, any light source can be used to excite plasmons and the excitation can be localized below the diffraction limit. Moreover, the use of molecules has the potential for integration with molecular electronics and for the use of molecular self-assembly in fabrication. Our results constitute a proof-of-principle demonstration of a plasmonic waveguide where signal in- and outcoupling is done by molecules.
Resistance coefficient during ice slurry flow through pipe sudden constriction
?. Mika
Archives of Foundry Engineering , 2010,
Abstract: Due to the adverse environmental effects of some commonly-used refrigerants, efforts are still underway to find new cooling mediumsthat would be safer to the ozone layer and would not increase the greenhouse effect. Ice slurry as a new ecological coolant suits theprocesses requiring the preservation of constant and equal temperature in the cooling process of the full section of the cooled solid. Thanks to that, ice slurry can find a wide potential application in such branches of industry, as heat treatment, materials engineering, or foundry. In this paper, flow systems which are commonly used in fittings elements such as diameter’s reductions in ice slurry pipelines, are experimentally investigated. In the study reported in this paper, the consideration was given to the specific features of the slurry flow in which the flow qualities depend mainly on the volume fraction of solid particles. The results of the experimental studies on the flow resistance, presented herein, enabled to determine the resistance coefficient during the ice slurry flow through the pipe sudden constriction. The volume fraction of solid particles in the slurry ranged from 5 to 30%. The recommended and non-recommended range of the Reynolds number for the ice slurry flow through the pipe sudden constriction were presented in this paper. The experimental studies were conducted on a few variants of the most common reductions of copper pipes. Further studies on the determination of the resistance coefficient in the remaining fittings elements of the pipeline were recommended in the paper as well as the further theoretical studies intended to determine the theoretical relations to calculate the resistance coefficient in all the fittings elements in the pipeline (on the basis of the experimental studies) and to elaborate the calculation pattern of the entire ice slurry system.
Pitfalls and Remedies in DEA Applications: How to Handle an Occurrence of Zero in Multipliers by Strong Complementary Slackness Conditions  [PDF]
Toshiyuki Sueyoshi, Mika Goto
Engineering (ENG) , 2013, DOI: 10.4236/eng.2013.55A005
Abstract: This study discusses a guideline on a proper use of Data Envelopment Analysis (DEA) that has been widely used for performance analysis in public and private sectors. The use of DEA is equipped with Strong Complementary Slackness Conditions (SCSCs) in this study, but an application of DEA/SCSCs depends upon its careful use, as summarized in the guideline. The guideline consists of the five suggestions. First, a data set used in the DEA applications should not have a ratio variable (e.g., financial ratios) in an input(s) and/or an output(s). Second, radial DEA models under variable and constant Returns to Scale (RTS) need a special treatment on zero in a data set. Third, the DEA evaluation needs to drop an outlier. Fourth, an imprecise number (e.g., 1/3) may suffer from a round-off error because DEA needs to specify it in a precise expression to operate a computer code. Finally, when a large input or output variable may dominate other variables in DEA computation, it is necessary to normalize the data set or simply to divide each observation by its average. Such a simple treatment produces more reliable DEA results than the one without any data adjustment. This study also discusses how to handle an occurrence of zero in DEA multipliers by applying SCSCs. The DEA/SCSCs can serve for a multiplier restriction approach without any prior information. Thus, the propesed DEA/SCSCs can provide more reliable results than a straight use of DEA.
Uncovering Executive Prioritization: Evaluating Customer Value Propositions with the Pairwise Comparison Method  [PDF]
Mika Yrj?l?
Journal of Service Science and Management (JSSM) , 2015, DOI: 10.4236/jssm.2015.81001
Abstract: Creating customer value is a managerial priority. The role of executives is to choose what type(s) of customer value to propose to customers in the form of a customer value proposition (CVP). The decision is a complex one, because executives have to compare and weigh concrete, measurable elements alongside abstract, subjective ones. The purpose of this paper is to identify themes relating to the use of the pairwise comparison method (PCM) as a tool for prioritizing customer value dimensions from the perspective of retail executives. As a result, this paper first highlights examples of PCM outputs, and second, identifies four themes that capture executive views of the PCM.
Mitochondrial Respiration Is Associated with Alloxan-Induced Mitochondrial Permeability Transition  [PDF]
Koichi Sakurai, Mika Itoh
Journal of Biophysical Chemistry (JBPC) , 2016, DOI: 10.4236/jbpc.2016.74008
Abstract: We previously showed that increased mitochondrial inner membrane permeability which is known as mitochondrial permeability transition (MPT) is triggered by adding succinate in the presence of the diabetogenic agent alloxan. Here, our aim was to investigate whether mitochondrial respiration is associated with alloxan-induced MPT. After mitochondria isolated from rat liver were incubated with alloxan at 37°C for 5 min, the addition of succinate immediately triggered the MPT in the presence of rotenone. However, little or no induction occurred at incubation temperatures below 25°C. Malate/glutamate also triggered MPT by alloxan in the absence of rotenone. In mitochondrial suspensions containing alloxan, succinate accelerated oxygen consumption that was completely inhibited by cyanide. These results suggest that mitochondrial respiration is associated with the alloxan-induced MPT. Alloxan radical production was investigated using ESR spectroscopy. Mitochondria incubated with succinate and alloxan elicited low signal intensity (radical formation) that increased significantly in the presence of cyanide. When the incubation of alloxan with mitochondria after the addition of succinate, a little intensity of the signal was observed, but it was remarkably increased after the addition of cyanide. Ubiquinone analogues inhibited the MPT induction. These results suggest that the initiation of MPT is associated with alloxan redox cycling via an electron transfer process at a quinone-binding site in respiratory mitochondria.
DECOLORIZATION OF INKJET INK AND DEINKING OF INKJET-PRINTED PAPER WITH LACCASE-MEDIATOR SYSTEM
Katariina Nyman,Terhi Hakala
BioResources , 2011,
Abstract: The emergence of novel high-speed inkjet printing technology has been hindered because of claims of poor deinkability of the printed product. Based on our results the decolorization of inkjet inks with the laccase-mediator system is a possible approach to improve the deinkability of inkjet-printed paper. The commercial Myceliophtora thermophila and Trametes versicolor laccases (1 U/mL) and a mediator compound acetosyringone (0.1 mM) decolorized water-soluble textile and inkjet ink dyes by up to 94% and aqueous dye-based inkjet inks by 40 to 98%. M. thermophila laccase decolorized magenta and black inks effectively even at pH 9.0. Acetosyringone was a better mediator compared to ABTS and violuric acid because of its high efficiency and low inherent color. The enzymatic decolorization of inkjet ink was also achieved in deinking experiments with inkjet-printed paper. A treatment with M. thermophila laccase (2 U/g of paper) and acetosyringone (0.02% of paper weight) improved ISO-brightness of the pulp by 5%.
Traumatic intercostal arterial bleeding controlled with a novel surgical technique: a case report
Miettinen Simo,Hakala Tapio
Journal of Medical Case Reports , 2012, DOI: 10.1186/1752-1947-6-318
Abstract: Introduction A blunt thoracic trauma may cause arterial bleeding requiring operative treatment or endovascular embolization or endovascular aortic stenting. A novel damage control technique to stop such bleeding is presented. Case presentation We present the case of an 82-year-old Caucasian man who experienced rib fractures I-VII on the left side and bleeding from damaged intercostal arteries after a blunt thoracic trauma. Emergency thoracotomy was performed. Conclusions Effective hemostasis was achieved by using a rolled surgical swab and inserting it against the chest wall next to the aorta with sutures pulled through the intercostal muscles and then sutured to the back side of the patient. The patient died four days after the surgery due to a head injury sustained in the car crash.
Automated Source Classification using a Kohonen Network
Petri Mahonen,Pasi Hakala
Physics , 1995, DOI: 10.1086/309697
Abstract: We report progress in the development of automatic star/galaxy classifier for processing images generated by large galaxy surveys like APM. Our classification method is based on neural networks using the Kohonen Self-Organizing Map approach. Our method is novel, since it does not need supervised learning, i.e. human factor, in training. The analysis presented here concentrates on separating point sources (stars) from extended ones. Using simple numerical experiments we compare our method of image classification to the more traditional (PSF-fitting) approach of DAOFIND.
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