Search results for "lapsi"
showing 10 items of 374 documents
Huostaan otetun ja sijoitetun lapsen kokemuksia osallisuudesta lastensuojelun asiakkuudessaan
2013
Tutkielman tehtävänä on tarkastella, kuinka lapsen osallisuus näyttäytyy lastensuojelun asiakkuudessa sijaishuollossa. Tutkimuksen teoreettisena viitekehyksenä toimii muuttunut lapsuuskäsitys, uusi lapsuusparadigma, joka mieltää lapsen toimijana ja osallistujana omissa asioissaan. Tutkielma on kvalitatiivinen, ja sen aineisto on saatu haastattelemalla seitsemää huostaan otettua ja sijoitettua lasta, iältään 12 -19-vuotiaita. Aineisto on analysoitu teoriaohjaavan sisällönanalyysin metodilla. Lasten kuvauksista nousee esiin kolmenlaisia asiakkuuskokemuksia. Osa lapsista kuvaa jäävänsä asiakkuutensa ulkojäseniksi ja vaille osallistumisen kokemuksia. Toinen osa lapsista kertoo rakenteellisista …
Kuinka esikouluikäiset lapset pääsevät vaikuttamaan päiväkodin pedagogiseen suunnittelutyöhön : tapaustutkimus lapsilähtöisyyden eri ilmenemismuodois…
2014
Tiivistelmä. Häggman, Nina. 2014. Kuinka esikouluikäiset lapset pääsevät vaikuttamaan päiväkodin suunnittelutyöhön, tapaustutkimus lapsilähtöisyyden ilmenemismuotoja yksityisessä päiväkodissa. Varhaiskasvatustieteen kandidaatin tutkielma. Kasvatustieteiden laitos. Jyväskylän yliopisto. 30 sivua + liitteet. Lapsilähtöisyys on paljolti pinnalla oleva ilmiö, mutta se käsitetään eri päiväkodeissa hyvin eri tavalla. Opintoihini kuuluvissa päiväkotiharjoitteluissa olen huomannut, että lapsilähtöisyys on lähes poikkeuksetta tilan antamista lapsille esimerkiksi musiikkituokion laulun valitsemisessa tai liikuntaleikin päättämisessä. Lasten todellinen mahdollisuus vaikuttamiseen ja päiväkotiympäristö…
"Oli kerran Tuulikki-tonttu" : sisäistekijyys ja tekijyys lapsen tuottamissa teoksissa
2013
Analysoin tutkielmassani viidestä kuuteen -vuotiaan tytön, Matildan, tuottamaa kolmea teosta Joulukirjaa, Autokirjaa ja ”Keijukirjaa” lähilukemalla niitä Michael Armstrongin (2006) narratiivisen analyysin avulla, tulkitsemalla niiden sisäistekijyyttä erityisesti Pekka Tammen (1992) ja Shlomith Rimmon-Kenanin (1991) teorian pohjalta sekä pohtimalla, millä tavalla tieto lapsesta tekijänä vaikuttaa teosten todellisen tekijyyden tulkintalähtökohtiin kirjallisuuden teoriassa. Oletan, että tulkitakseen lapsen tuottamia teoksia on tunnettava myös lapsuuskonteksti, jossa minulle tärkeitä lähteitä ovat olleet Susan Engel (1995) ja Liisa Karlsson (2005). Lastenkulttuurin tuntemus on tärkeää, kun tutk…
Hesitant versus confident family language policy: a case of two single-parent families in Finland
2022
Abstract During the past decade, the field of family language policy has broadened its scope and turned its attention to diverse family configurations in versatile sociolinguistic contexts. The current study contributes to this endeavor by focusing on two single-parent families who live in Finland and who strive to support Russian as a family language. Applying nexus analysis as an epistemological stance and as an analytical lens, the study takes an emic perspective on family language policy. Furthermore, it examines how family language policy is manifested and negotiated during mother–child play and what discourses shape it. The findings reveal two contrasting ways in which family language…
The Impact of Coconut Oil and Epigallocatechin Gallate on the Levels of IL-6, Anxiety and Disability in Multiple Sclerosis Patients
2020
Background: Due to the inflammatory nature of multiple sclerosis (MS), interleukin 6 (IL-6) is high in blood levels, and it also increases the levels of anxiety related to functional disability. Epigallocatechin gallate (EGCG) decreases IL-6, which could be enhanced by the anti-inflammatory effect of high ketone bodies after administering coconut oil (both of which are an anxiolytic). Therefore, the aim of this study was to assess the impact of coconut oil and EGCG on the levels of IL-6, anxiety and functional disability in patients with MS. Methods: A pilot study was conducted for four months with 51 MS patients who were randomly divided into an intervention group and a control group. The …
Oral Palmitoylethanolamide Treatment Is Associated with Reduced Cutaneous Adverse Effects of Interferon-β1a and Circulating Proinflammatory Cytokines…
2016
Palmitoylethanolamide (PEA) is an endogenous lipid mediator known to reduce pain and inflammation. However, only limited clinical studies have evaluated the effects of PEA in neuroinflammatory and neurodegenerative diseases. Multiple sclerosis (MS) is a chronic autoimmune and inflammatory disease of the central nervous system. Although subcutaneous administration of interferon (IFN)-β1a is approved as first-line therapy for the treatment of relapsing–remitting MS (RR-MS), its commonly reported adverse events (AEs) such as pain, myalgia, and erythema at the injection site, deeply affect the quality of life (QoL) of patients with MS. In this randomized, double-blind, placebo-controlled study,…
A multicentRE observational analysiS of PErsistenCe to Treatment in the new multiple sclerosis era: the RESPECT study.
2018
In this independent, multicenter, retrospective study, we investigated the short-term persistence to treatment with first-line self-injectable or oral disease-modifying treatments (DMTs) in patients with relapsing–remitting multiple sclerosis. Data of patients regularly attending 21 Italian MS Centres who started a self-injectable or an oral DMT in 2015 were collected to: (1) estimate the proportion of patients discontinuing the treatment; (3) explore reasons for discontinuation; (3) identify baseline predictors of treatment discontinuation over a follow-up period of 12 months. We analyzed data of 1832 consecutive patients (1289 women, 543 men); 374 (20.4%) of them discontinued the prescrib…
MRI activity and neutralising antibody as predictors of response to interferon beta treatment in multiple sclerosis
2008
Objective: To prospectively validate MRI activity and neutralising anti-interferon antibody (NAb) during the first 6 months of interferon β treatment as response indicators in multiple sclerosis (MS). Methods: Patients with relapsing–remitting MS were followed during the first 2 years of treatment. Neurological assessments were performed every 3 months or when a relapse was suspected. MRI scans performed at baseline and at 3, 4, 5 and 6 months after the start of treatment were assessed centrally for disease activity: new T2 or gadolinium enhancing T1 lesions. NAb were assessed using the MxA protein assay; positivity was defined as two consecutive titres ⩾20 NU/ml. We evaluated the predictiv…
Changes in magnetic resonance imaging disease measures over 3 years in mildly disabled patients with relapsing-remitting multiple sclerosis receiving…
2011
Abstract Background Conventional magnetic resonance imaging (MRI) has improved the diagnosis and monitoring of multiple sclerosis (MS). In clinical trials, MRI has been found to detect treatment effects with greater sensitivity than clinical measures; however, clinical and MRI outcomes tend to correlate poorly. Methods In this observational study, patients (n = 550; 18-50 years; relapsing-remitting MS [Expanded Disability Status Scale score ≤4.0]) receiving interferon (IFN) β-1a therapy (44 or 22 µg subcutaneously [sc] three times weekly [tiw]) underwent standardized MRI, neuropsychological and quality-of-life (QoL) assessments over 3 years. In this post hoc analysis, MRI outcomes and corre…
Cognitive impairment and its relation with disease measures in mildly disabled patients with relapsing-remitting multiple sclerosis: baseline results…
2009
Background Cognitive impairment is a common symptom of multiple sclerosis (MS), but the association between cognitive impairment and magnetic resonance imaging (MRI) disease measures in patients with relapsing–remitting (RR) MS is unclear. Objectives To study the prevalence of cognitive impairment and its relation with MRI disease measures in mildly disabled patients with RRMS. Methods Patients aged 18–50 years with RRMS (McDonald criteria) and an Expanded Disability Status Scale (EDSS) score ≤4.0, who were enrolled in the Cognitive Impairment in Multiple Sclerosis (COGIMUS) study, underwent baseline standardized MRI complete neurological examination and neuropsychological testing. Results…