Development and preliminary validation of the Neonatal Infant Acute Pain Assessment Scale (NIAPAS).

Background: Several pain scales are available for neonates, but, unfortunately they are only rarely used in clinical practice. To help with the current situation of unrecognized and under-treated pain in neonatal intensive care units (NICUs), we developed an assessment tool in close collaboration with clinical staff.

Objectives: To develop a multidimensional scale, NIAPAS (the Neonatal Infant Acute Pain Assessment Scale), that is sensitive to the needs of infants in neonatal intensive care units, and to test the validity, reliability, feasibility and clinical utility of the scale for this population.

Oak decline analyzed using intraannual radial growth indices, δ(13)C series and climate data from a rural hemiboreal landscape in southwesternmost Finland.

Decline of pedunculate oak (Quercus robur L.) was studied in SW Finland. This is a region where the species is growing near its northern distributional limit globally and a recent decline of mature trees has been described regionally.

Motivational orientation of people participating in vocational rehabilitation.

Purpose: The task of vocational rehabilitation is to support the employee's chances of continuing in working life. The study aimed to examine the motivational orientation of people participating in vocational rehabilitation and to find out what characteristics of the clients, their life situation, and their beliefs and perceptions were associated with it.

Methods: A mail questionnaire was answered by 839 rehabilitation clients who had received an affirmative rehabilitation decision under the earnings-related pension scheme 12 months earlier (response rate 67 %).

The fourth level of health literacy.

The World Health Organization defines health literacy as cognitive and social skills determining individuals' motivation and ability to receive, understand, and use information in a health-promoting manner. This study discusses health literacy in the light of general upper secondary education students' test answers (N = 611) on the Finnish Matriculation Examination. The data were analyzed based on three levels of health literacy: the basic, communicative, and critical level.

Phenolic responses of mountain crowberry (Empetrum nigrum ssp. hermaphroditum) to global climate change are compound specific and depend on grazing by reindeer (Rangifer tarandus).

Mountain crowberry (Empetrum nigrum ssp. hermaphroditum) is a keystone species in northern ecosystems and exerts important ecosystem-level effects through high concentrations of phenolic metabolites. It has not been investigated how crowberry phenolics will respond to global climate change.

Towards meaningful simulation-based learning with medical students and junior physicians.

Background: This research provides an educational perspective on simulation-based medical education by implementing both the characteristics of meaningful learning and the concepts of facilitating, training, and learning processes.

Aims: This study aims to evaluate, from the perspectives of both facilitators and students, the meaningfulness of five different simulation-based courses.

Methods: The courses were implemented in the spring of 2010.

Service characteristics as predictors of parents' perceptions of child rehabilitation outcomes.

Medical rehabilitation arranged by the Social Insurance Institution of Finland is provided for children with severe disabilities. The study aimed to find out which service characteristics were associated with perceived outcomes of rehabilitation. Parents whose children had participated in rehabilitation (n = 496) responded to a mail questionnaire that included questions on service characteristics and possible outcomes.

Shared agency and collaboration between the family and professionals in medical rehabilitation of children with severe disabilities.

Implementation of medical rehabilitation for children with severe disabilities, arranged by the Social Insurance Institution of Finland, is based on collaboration of the family with several professionals and organizations providing the necessary services. Therefore, it sets special challenges for service provision. Parents' experiences of shared agency and participation during children's rehabilitation process were analyzed in relation to the following research questions: what factors, describing the planning and implementation of rehabilitation, were associated with (a) the parents' satisfaction with planning, (b) the correspondence between the plans and the needs of the child, and (c) the correspondence between the received rehabilitation and the needs and wishes of the child and the parents.

Quantifications of dendrochronological information from contrasting microdensitometric measuring circumstances of experimental wood samples.

We analyzed how the pretreatment method of Scots pine (Pinus sylvestris L.) wood specimens together with X-ray methodology applied for density analyses affect resulting tree-ring data and derived proxy-based climate information. We also evaluated whether these results from two contrasting laboratory circumstances could be homogenized by applying dendroclimatic statistical methods.

High resilience in the Yamal-Nenets social-ecological system, West Siberian Arctic, Russia.

Tundra ecosystems are vulnerable to hydrocarbon development, in part because small-scale, low-intensity disturbances can affect vegetation, permafrost soils, and wildlife out of proportion to their spatial extent. Scaling up to include human residents, tightly integrated arctic social-ecological systems (SESs) are believed similarly susceptible to industrial impacts and climate change. In contrast to northern Alaska and Canada, most terrestrial and aquatic components of West Siberian oil and gas fields are seasonally exploited by migratory herders, hunters, fishers, and domesticated reindeer (Rangifer tarandus L.

Effect of the temperature and the exclusion of UVB radiation on the phenolics and iridoids in Menyanthes trifoliata L. leaves in the subarctic.

The long-term effects of UVB exclusion and temperature on the methanol extractable (ME) phenolics (flavonoids, phenolic acids) and iridoids of Menyanthes trifoliata L. (Mt) leaves were studied in northern Finland (68 degrees N) using wooden frames covered with filters for UVB exclusion (polyester filter), control (cellulose acetate filter) and ambient (no filter) conditions. Analysis of ambient plots showed no effect of the daily mean temperature (2sigma = 1.

How to know together? Physicians' co-orientation between hospitals and health centres.

Not enough attention has been paid to the complex co-operative reality of health care personnel's work. This paper focuses on the interconnection between two health care institutions: public hospitals and communal health centres in Finland. The analysis presented in this article is based on the accounts of physicians working in primary and secondary care.

Mortality of the Sami in northern Finland 1979-2005.

Objectives: To describe the mortality of the Finnish Sami population. Study design. A cohort study.

The effects of wintertime undernutrition on plasma leptin and insulin levels in an arctic ruminant, the reindeer.

We examined the effects of prolonged undernutrition on plasma leptin and insulin levels and some serum protein metabolites in reindeer (Rangifer tarandus tarandus L.) during winter and spring. The reindeer (male <1 year) were fed their preferred winter feed, low-protein lichen ad libitum for 5 weeks, followed by 40% restriction of energy for 8 weeks and refeeding with high-protein pellets for 6 weeks.

Observational evidence for volcanic impact on sea level and the global water cycle.

It has previously been noted that there are drops in global sea level (GSL) after some major volcanic eruptions. However, observational evidence has not been convincing because there is substantial variability in the global sea level record over periods similar to those at which we expect volcanoes to have an impact. To quantify the impact of volcanic eruptions we average monthly GSL data from 830 tide gauge records around five major volcanic eruptions.

UV-B radiation and acclimation in timberline plants.

Research has shown that some plants respond to enhanced UV-B radiation by producing smaller and thicker leaves, by increasing the thickness of epidermis and concentration of UV-B absorbing compounds of their surface layers and activation of the antioxidant defence system. The response of high-altitude plants to UV-B radiation in controlled conditions is often less pronounced compared to low-altitude plants, which shows that the alpine timberline plants are adapted to UV-B. These plants may have a simultaneous co-tolerance for several stress factors: acclimation or adaptation to the harsh climate can also increase tolerance to UV-B radiation, and vice versa.

Geographic variations in anthropogenic drivers that influence the vulnerability and resilience of social-ecological systems.

Across the circumpolar North large disparities in the distribution of renewable and nonrenewable resources, human population density, capital investments, and basic residential and transportation infrastructure combine to create recognizable hotspots of recent and foreseeable change. Northern Fennoscandia exemplifies a relatively benign situation due to its current economic and political stability. Northern Russia is experiencing rapid, mostly negative changes reflecting the general state of crisis since the collapse of the Soviet Union.

The effects of UV exclusion on the soluble phenolics of young Scots pine seedlings in the subarctic.

The characteristics of UV-absorbing compounds, particularly soluble phenolics, were studied in needles of 63-day-old seed-grown Scots pine (Pinus sylvestris L.) seedlings of two provenances in a UV exclusion field experiment at Pallas-Ounastunturi National Park in Finnish Lapland (68 degrees N, 270 m a.s.

Comparison of analytical results for chloride, sulfate and nitrate obtained from adjacent ice core samples by two ion chromatographic methods.

The anions chloride, sulfate and nitrate in nearly 500 pairs of ice core samples from the same depth were determined in a 121 m long ice core from Svalbard. The analyses were performed separately using an ion chromatograph with Dionex AS9 and AS15 columns with Na(2)CO(3) and NaOH eluents. Results showed a small (5-6 microg l(-1)) but statistically significant difference in mean concentrations for chloride and sulfate but not for nitrate.

Health problems and long-term unemployment.

The article deals with the relation between unemployment and health problems using as a case a local support project for long-term unemployed in northern Finland. Mass unemployment has increased competition on the labor market, and successful job-seekers must have a wider range of qualifications than before. As demands have intensified on the labor market, health has become a salient criterion in the recruitment process.

Effect of moderate wintertime undernutrition on fatty acid composition of adipose tissues of reindeer (Rangifer tarandus tarandus L.).

We studied the effect of moderate undernutrition on the fatty acid composition of adipose tissues in reindeer calves (<1 year) between early winter and late spring. Calves studied in early winter (December) had grazed on natural pastures and were in good condition, while the calves in spring (April) had been maintained on a negative energy balance since December, had lost approximately 16% of body weight and were in a moderate undernutritional state. The fatty acid composition of total lipids in adipose tissues (perirenal-abdominal, peristernal, scapular, intralumbar, and caudal locations) had a high proportion of oleic acid (35-47%) in both seasons.

Severity of symptoms and signs in relation to magnetic resonance imaging findings among sciatic patients.

Study Design: A cross-sectional study in sciatic population.

Objectives: To evaluate the separate roles of nerve root entrapment-based on magnetic resonance imaging-and other discogenic pain mechanisms on disability and physical signs among symptomatic sciatic patients.

Summary Of Background Data: Data symptoms of sciatica are generally understood to be generated by nerve root compression, but other pain mechanisms of sciatica have been suggested.

The effect of wintertime undernutrition on the fatty acid composition of leg bone marrow fats in reindeer (Rangifer tarandus tarandus L.).

We studied the effects of wintertime undernutrition on the fatty acid composition of bone marrow triacylglycerols (TAGs) of legs in freely-ranging reindeer calves (<1 year) and adult hinds by comparing reindeer in poor condition slaughtered in February with reindeer in good condition slaughtered in October. Significant reductions were found in the proportions of the major monounsaturated fatty acid, or oleic acid, and in linoleic and alpha-linolenic acids in the femur TAGs of the undernourished reindeer as compared with the reindeer in good condition. As a result of these changes, the unsaturation index (UI) of the femur TAGs was reduced by 11% both in the calves and hinds.