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    <title>E-thesis / All Forthcoming Dissertations </title>
    <description>E-thesis site contains doctoral dissertations and other publications from the University of Helsinki. All of these full-text publications are freely accessible via the Internet. This is RSS 2.0 feed for forthcoming dissertations from University of Helsinki</description>
    <link>http://ethesis.helsinki.fi</link>
    <language>en</language>
    <copyright>Copyright University of Helsinki</copyright>
    <webMaster>e-thesis@helsinki.fi</webMaster>
    <pubDate>Sun, 12 Feb 2012 03:00:01 +0002</pubDate>
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    <ttl>360</ttl>
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      <title>E-thesis</title>
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      <link>http://ethesis.helsinki.fi</link>
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      <title>17.2. Mikko Käenmäki: Importance of COMT in the regulation of prefrontal dopamine</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7614-5</link>
      <description><![CDATA[<p>The prefrontal cortex (PFC), located in the anterior region of the frontal lobe, is
considered to have several key roles in higher cognitive and executive functions. In general, the PFC can be seen as a coordinator of thought and action allowing subjects to behave in a goal-directed manner. Due to its anatomical connections with a variety of cortical and subcortical structures, several neurotransmitters, including dopamine, are involved in the regulation of PFC activity. In general, the majority of released dopamine is cleared by the dopamine transporter (DAT). In the PFC however, the number of presynaptic DAT is diminished, emphasizing the relative importance of catechol-O-methyltransferase (COMT) in dopamine metabolism. As a result, the role of COMT in the etiology of psychotic disorders is under constant debate.
</p><p>The present study investigated the role of COMT in prefrontal cortical dopamine metabolism by different neurochemical methods in COMT knockout (COMT-KO) mice. Pharmacological tools to inhibit other dopamine clearing mechanisms were also used for a more comprehensive and collective picture. In addition, this study investigated how a lack of the soluble (S-) COMT isoform affects the total COMT activity as well as the pharmacokinetics of orally administered L-dopa using mutant mice expressing only the membrane-bound (MB-) COMT isoform. Also the role of COMT in striatal and accumbal dopamine turnover during &#916;9-tetrahydrocannabinol (THC) challenge was studied.
</p><p>We found markedly increased basal dopamine concentrations in the PFC, but not
the striatum or nucleus accumbens (NAcc), of mice lacking COMT. Pharmacological inhibition of the noradrenaline transporter (NET) and monoamine oxidase (MAO) elevated prefrontal cortical dopamine levels several-fold, whereas inhibition of DAT did not. The lack of COMT doubled the dopamine raising effects of NET and MAO inhibition. No compensatory expression of either DAT or NET was found in the COMT-KO mice. The lack of S-COMT decreased the total COMT activity by 50-70 % and modified dopamine transmission and the pharmacokinetics of exogenous Ldopa in a sex and tissue specific manner. Finally, we found that subsequent tolcapone and THC increased dopamine levels in the NAcc, but not in the striatum.
</p><p>Conclusively, this study presents neurochemical evidence for the important role of COMT in the PFC and shows that COMT is responsible for about half of prefrontal cortical dopamine metabolism. This study also highlights the previously underestimated proportional role of MB-COMT and supports the clinical evidence of a gene x environment interaction between COMT and cannabis.</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7614-5</guid>
      <dc:creator>Käenmäki, Mikko</dc:creator>
    </item>
    <item>
      <title>17.2. Satu Saalasti: Linguistic and perceptual processing of communicative cues in Asperger Syndrome</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7627-5</link>
      <description><![CDATA[<p>Asperger Syndrome (AS) belongs to autism spectrum disorders where both verbal and non-verbal communication difficulties are at the core of the impairment. Social communication requires a complex use of affective, linguistic-cognitive and perceptual processes. In the four studies included in the current thesis, some of the linguistic and perceptual factors that are important for face-to-face communication were studied using behavioural methods. In all four studies the results obtained from individuals with AS were compared with typically developed age, gender and IQ matched controls. 
</p><p>First, the language skills of school-aged children were characterized in detail with standardized tests that measured different aspects of receptive and expressive language (Study I). The children with AS were found to be worse than the controls in following complex verbal instructions. Next, the visual perception of facial expressions of emotion with varying degrees of visual detail was examined (Study II). Adults with AS were found to have impaired recognition of facial expressions on the basis of very low spatial frequencies which are important for processing global information. Following that, multisensory perception was investigated by looking at audiovisual speech perception (Studies III and IV). Adults with AS were found to perceive audiovisual speech qualitatively differently from typically developed adults, although both groups were equally accurate in recognizing auditory and visual speech presented alone. Finally, the effect of attention on audiovisual speech perception was studied by registering eye gaze behaviour (Study III) and by studying the voluntary control of visual attention (Study IV). The groups did not differ in eye gaze behaviour or in the voluntary control of visual attention. 
</p><p>The results of the study series demonstrate that many factors underpinning face-to-face social communication are atypical in AS.  In contrast with previous assumptions about intact language abilities, the current results show that children with AS have difficulties in understanding complex verbal instructions. Furthermore, the study makes clear that deviations in the perception of global features in faces expressing emotions as well as in the multisensory perception of speech are likely to harm face-to-face social communication.  
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7627-5</guid>
      <dc:creator>Saalasti, Satu</dc:creator>
    </item>
    <item>
      <title>17.2. Rami Ratvio: Elämää keskustassa ja kaupunkiseudun reunoilla. Urbaani ja jälkiesikaupungillinen elämäntyyli asumisen valinnoissa ja arkiliikkumisessa Helsingin seudulla.</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7625-1</link>
      <description><![CDATA[<p>The lifestyles of people living in single-family housing areas on the outskirts of the Greater Helsinki Region (GHR) are different from those living in inner city area.
</p><p>The urban structure of the GHR is concentrated in the capital on the one hand, and spread out across the outskirts on the other. Socioeconomic spatial divisions are evident as well-paid and educated residents move to the inner city or the single-family house dominated suburban neighbourhoods depending on their housing preferences and life situations. The following thesis explores how these lifestyles have emerged through the housing choices and daily mobility of the residents living in the new single-family housing areas on the outskirts of the GHR and the inner city.
</p><p>The study shows that, when it comes to lifestyles, residents on the outskirts of the region have different housing preferences and daily mobility patterns when compared with their inner city counterparts. Based on five different case study areas my results show that these differences are related to residents values, preferences and attitudes towards the neighbourhood, on the one hand, and limited by urban structure on the other. This also confirms earlier theoretical analyses and findings from the GHR.
</p><p>Residents who moved to the outskirts of Greater Helsinki Region and the apartment buildings of the inner city were similar in the basic elements of their housing preferences: they sought a safe and peaceful neighbourhood close to the natural environment. However, where housing choices, daily mobility and activities vary different lifestyles develop in both the outskirts and the inner city.
</p><p>More specifically, lifestyles in the city apartment blocks were inherently urban. Liveliness and highest order facilities were appreciated and daily mobility patterns were supported by diverse modes of transportation for the purposes of work, shopping and leisure time. On the outskirts, by contrast, lifestyles were largely post-suburban and child-friendliness appreciated. Due to the heterachical urban structure, daily mobility was more car-dependent since work, shopping and free time activities of the residents are more spread around the region. The urban structure frames the daily mobility on the outskirts of the region, but this is not to say that short local trips replace longer regional ones.
</p><p>This comparative case study was carried out in the single-family housing areas of Sundsberg in Kirkkonummi, Landbo in Helsinki and Ylästö in Vantaa, as well as in the inner city apartment building areas of Punavuori and Katajanokka in Helsinki. The data is comprised of residential surveys, interviews, and statistics and GIS data sets that illustrate regional daily mobility, socio-economic structure and vis-à-vis housing stock.</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7625-1</guid>
      <dc:creator>Ratvio, Rami</dc:creator>
    </item>
    <item>
      <title>17.2. Hanna Konttinen: Dietary habits and obesity: the role of emotional and cognitive factors</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-6709-9</link>
      <description><![CDATA[<p>In post-industrialised societies, food is more plentiful, accessible and palatable than ever before and technological development has reduced the need for physical activity. Consequently, the prevalence of obesity is increasing, which is problematic as obesity is related to a number of diseases. Various psychological and social factors have an important influence on dietary habits and the development of obesity in the current food-rich and sedentary environments. The present study concentrates on the associations of emotional and cognitive factors with dietary intake and obesity as well as on the role these factors play in socioeconomic disparities in diet. Many people cognitively restrict their food intake to prevent weight gain or to lose weight, but research on whether restrained eating is a useful weight control strategy has produced conflicting findings. With respect to emotional factors, the evidence is accumulating that depressive symptoms are related to less healthy dietary intake and obesity, but the mechanisms explaining these associations remain unclear. Furthermore, it is not fully understood why socioeconomically disadvantaged individuals tend to have unhealthier dietary habits and the motives underlying food choices (e.g., price and health) could be relevant in this respect.
</p><p>The specific aims of the study were to examine 1) whether obesity status and dieting history moderate the associations of restrained eating with overeating tendencies, self-control and obesity indicators; 2) whether the associations of depressive symptoms with unhealthier dietary intake and obesity are attributable to a tendency for emotional eating and a low level of physical activity self-efficacy; and 3) whether the absolute or relative importance of food choice motives (health, pleasure, convenience, price, familiarity and ethicality) contribute to the socioeconomic disparities in dietary habits.
</p><p>The study was based on a large population-based sample of Finnish adults: the participants were men (N=2325) and women (N=2699) aged 25-74 who took part in the DILGOM (Dietary, Lifestyle and Genetic Determinants of Obesity and Metabolic Syndrome) sub-study of the National FINRISK Study 2007. The participants weight, height, waist circumference and body fat percentage were measured in a health examination. Psychological eating styles (the Three-Factor Eating Questionnaire-R18), food choice motives (a shortened version of the Food Choice Questionnaire), depressive symptoms (the Center for Epidemiological StudiesDepression Scale) and self-control (the Brief Self-Control Scale) were measured with pre-existing questionnaires. A validated food frequency questionnaire was used to assess the average consumption of sweet and non-sweet energy-dense foods and vegetables/fruit. Self-reported total years of education and gross household income were used as indicators of socioeconomic position.
</p><p>The results indicated that 1) restrained eating was related to a lower body mass index, waist circumference, emotional eating and uncontrolled eating, and to a higher self-control in obese participants and current/past dieters. In contrast, the associations were the opposite in normal weight individuals and those who had never dieted. Thus, restrained eating may be related to better weight control among obese individuals and those with dieting experiences, while among others it may function as an indicator of problems with eating and an attempt to solve them. 2) Emotional eating and depressive symptoms were both related to less healthy dietary intake, and the greater consumption of energy-dense sweet foods among participants with elevated depressive symptoms was attributable to the susceptibility for emotional eating. In addition, emotional eating and physical activity self-efficacy were both important in explaining the positive association between depressive symptoms and obesity. 3) The lower vegetable/fruit intake and higher energy-dense food intake among individuals with a low socioeconomic position were partly explained by the higher priority they placed on price and familiarity and the lower priority they gave to health motives in their daily food choices.
</p><p>In conclusion, although policy interventions to change the obesogenic nature of the current environment are definitely needed, knowledge of the factors that hinder or facilitate peoples ability to cope with the food-rich environment is also necessary. This study implies that more emphasis should be placed on various psychological and social factors in weight control programmes and interventions. 
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-6709-9</guid>
      <dc:creator>Konttinen, Hanna</dc:creator>
    </item>
    <item>
      <title>17.2. Tuula Teräväinen: The politics of energy technologies </title>
      <link>http://urn.fi/URN:ISBN:978-952-264-143-4</link>
      <description><![CDATA[<p>This study analyses the politics of energy technologies and climate change in Finland and makes comparisons with the respective developments in the UK and France during the last two decades. With a focus on exploring how the dimension of political has been constituted in and through national policy debates, it examines the ways in which various actors have debated climate change, energy policy, and technology in the three countries and what kinds of implications this has had on established eco-political, normative, and politico-institutional understandings of society. The study combines synchronic and diachronic dimensions, by analysing politics over time and across the three countries. It consists of five published articles and a synthesis article.
</p><p>The empirical analyses of the five original articles draw from broad sets of data, including government and stakeholder policy documents; transcriptions of Finnish parliamentary discussions; newspaper articles; semi-structured expert interviews; research and evaluation reports; and statistics. The main methods include qualitative inductive content analysis and discourse analysis. The study examines how governments, stakeholders, and the media have adopted and interpreted two dominant environmental policy discourses  sustainable development and ecological modernisation  in their efforts to balance global climate policy targets with national interests. It also discusses the changing relationships between the state, society, and market, as well as the political dimension of technology and the processes of politicisation in climate and energy policies. 
</p><p>The study makes theoretical, methodological, and empirical contributions to knowledge. It develops the state orientation and political opportunity structure approaches towards recognising the interplay between polities and politics by complementing them with discourse analytical insights, and by reconceptualising the notion of policy style. Empirically, the study develops historical and comparative analyses across the three countries and shows how national polities and state orientations, the technology-and-industry-know-best in Finland, the markets-know-best in the UK, and the government-knows-best in France, have both shaped policy discourses and been shaped by them. The results indicate that these historically developed and culturally embedded orientations, together with the selective utilisation of dominant discourses and appeals to generic societal values, have largely defined not only the boundaries of climate and energy policies but also the legitimate participants, credible arguments, and modes of negotiation in the national debates. At the same time, departures from the established structures and forms of argumentation highlight that the country-specific state orientations are not fixed or stable but indeed modified in and through policy discourses. This points to an understanding of politics as a dynamic process rather than a static arena and calls for recognising the mutually constitutive relationship between politics and polity.</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-264-143-4</guid>
      <dc:creator>Teräväinen, Tuula</dc:creator>
    </item>
    <item>
      <title>18.2. Jami Virta: Juoksuhaudoista yhteiskuntaan</title>
      <link>http://urn.fi/URN:ISBN:978-951-25-2274-3</link>
      <description><![CDATA[<p>The Finnish society developed rapidly in the 1960´s and 1970´s. This was result of international trends. Development of education, urbanization and wide organization of society increased discontent towards prevailing social structure and towards the power elite. Development of technology created possibility to present radical perspectives in mass media. This caused widely spread discussions dividing opinions.
</p><p>The purpose of this thesis was to complement research on national defence and the Finnish Defence Forces especially between years 1965 and 1975. The task of research was to clarify how changes in society and how the significance of this change was interpreted in public discussion about national defence and development of the Defence Forces. The most essential points for this thesis turned out to be discourses structured from public discussion.
</p><p>Main research material consisted of approximately 35000 news, editorials, articles and opinions presented in mass media supplemented by literature, committee reports and other archival sources. Frame of reference for this thesis is based on relativistic worldview. According to this, social reality is relative and there is no single truth. Environment has significant influence on the issue how knowledge and truth are formed. 
</p><p>Data analysis was based on critical discourse. The key objective was to clarify the effects of broad changes in society using discursive methods. One essential goal was to form order of discourse using linguistic analysis and also connect discourses to wider sociocultural custom.
</p><p>On this thesis I came to the conclusion that on the review period there were five significant ensembles of discourse. They consisted of several discussions focused on different themes. The discourse of official security policy aimed to define national defence and the position of the Defence Forces as parts of foreign policy. Foreign policy is often perceived as the most significant part of security policy. Historical memory, geographical position of Finland and also the state contracts, changes in international warfare, tasks of the Defence Forces and increasing critic of national defence and the difference in thinking between generations formed the discourse of security policy.
</p><p>In the discourse of the liability to military service, the issue was about individual responsibility to society and national defence. Resisters and unarmed defence demands, encouraged by international examples were the themes. The discourse pointed out how mass media is used to influence and forced the Defence Forces to develop the practices in public information.
</p><p>The discourses of democracy and politics were closer to internal development of the Defence Forces to integrate more into society. The discourse of democracy focused in changing power relationships of the Defence Forces that were known as authoritarian. Issues like conscript and personnel union activity had lot of similarities to general social development. The discourse of politics presented how the Defence Forces were pushed towards parliamentary decision making. The personnel was granted the same rights as other population.
</p><p>Themes related to the discourse on the will to national defence were development of mental national defence, increasing education on national defence and creation of more open public information culture.
</p><p>According to discourses presented above I can state, that the position of the Defence Forces in society was changed between years 1965-1975. This change was advanced by the Defence Forces reformed attitude towards mass media and public information in general. Active participation in public information important became important instead of only answering topics. This positive development created an atmosphere, that was easier for the public to understand and create own pictures of the armed forces. Due to this, I can describe that the defenders and supporters of the armed forces were stuck in their trenches, until discussions presented in discourses and themes developed the Defence Forces to be better fitting part of society.
</p><p>Key words; society, national defence, Defence Forces, discourse, mass media, security policy, liability to military service, conscription, democracy
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-951-25-2274-3</guid>
      <dc:creator>Virta, Jami</dc:creator>
    </item>
    <item>
      <title>22.2. Saana Svärd: Power and Women in the Neo-Assyrian Palaces</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7631-2</link>
      <description><![CDATA[<p>In this dissertation, I analyze theories of power in order to study the Neo-Assyrian (934-610 BC) women of the palaces. This study subscribes to that sociological understanding of power which stipulates that power exists in all relationships between people. This is why the main research question of this dissertation is not whether women had power or not, but instead, the question is: What kind of power did women have in Neo-Assyrian palaces?
</p><p>Neo-Assyrian women have not been much discussed in earlier research. In addition to presenting the textual evidence relating to them, this dissertation hopes to offer new theoretical perspectives for Assyriology and the study of ancient Near East. The aim of this study is not to present a mere catalogue of powerful women, listing occupations and texts. Instead, the aim is to go further than that and show that by using theories of power, one can get new viewpoints additional to those procured by the traditional philological methodology.
</p><p>The structure of the dissertation is dictated by the research questions. After the introduction in Chapter 1, the second Chapter evaluates sociological discussions regarding the concept of power from the viewpoint of womens studies and Assyriology. However, to discuss womens power in the Neo-Assyrian palaces, it is necessary to consider what power meant for the Assyrians themselves. Although not an easy question to tackle, Chapter 3 discusses this problem from a semantic and lexicographical perspective. I discuss those words which imply power in the texts relating to the women of the palace. At the end of Chapter 3, these lexicographical results are compared with the sociological concepts of power presented in Chapter 2.
</p><p>The theoretical framework built on these two chapters understands power as a hierarchical phenomenon. What positions did women have in the palace hierarchy? What did they do in the palaces, and what kind of authority did they possess? This is the topic of Chapter 4, where the textual evidence relating to the palace women is presented.
</p><p>Power in general and womens power especially has been understood mostly in a hierarchical way in earlier research concerning Mesopotamian women. Hierarchical power structures were important in Mesopotamia, but other theoretical approaches can help one gain new perspectives into the ancient material. One of these approaches consists of concentrating on heterarchical, negotiable and lateral power relations in which the women were engaged. In Chapter 5, the concept of heterarchical power is introduced and the text material is approached from a heterarchical perspective. Heterarchical power relations include hierarchical power relations, but also incorporate other kinds of power relations, such as reciprocal power, resistance and persuasion. Although earlier research has certainly been aware of womens influence in the palaces, this dissertation makes explicit the power concepts employed in previous research and expands them further using the concept of heterarchy. By utilizing the concept of power as a theoretical tool, my approach opened up new avenues for interpreting the texts.</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7631-2</guid>
      <dc:creator>Svärd, Saana</dc:creator>
    </item>
    <item>
      <title>23.2. Marjo Paavola: The Impact of Village Development Funds on Community Welfare in the Lao People's Democratic Republic</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7610-7</link>
      <description><![CDATA[<p>Micro credits have become an important tool in development efforts globally as well as at the national or local level. They are also increasingly linked to sustainable forest management and its role in poverty reduction in developing countries. The potential of micro credits in alleviating poverty is now recognized worldwide. Governments, donors, development agencies, banks, researchers and consultants are also increasingly interested in microfinance. 
</p><p>The objectives of the present study were, using Lao PDR as a case country, (1) to analyse the livelihood assets and activities of selected households with the emphasis on a comparison between poor and non-poor households and between those which had and had not received a micro credit; (2) to assess whether the well-being of the villages and households had improved as a consequence of the application and implementation of village development funds, that is, micro credits, and which were the factors affecting poverty; and (3) to evaluate the opinions of provincial level forestry and district leaders and other leaders on village development funds in contributing to well-being in Laos. The theories of sustainable livelihoods and entrepreneurship were used in analysing the impact of micro credits on the welfare of villagers and their livelihood assets. A basic assumption was also that access to various levels of assets and the combinations of assets both have an influence on peoples choice of livelihood strategies. 
</p><p>Village and household survey data were used. These data were collected in the field in the form of interviews with closed questions. Village heads were interviewed, as well as the heads and the members of the selected households. In total, 76 villages were studied and 1,518 households were interviewed. The village development financing system was assessed through provincial and district level semi-structured interviews, by focusing in particular on the adequacy and appropriateness of the development financing guidance, tools and training. 
</p><p>A quantitative analysis suggested that the effects of the SUFORD project and micro credits in the form of village development funds were small or non-existent. However, the quantitative analysis could define the specific factors related to poverty as follows: ethnic origin; glutinous rice production during the wet season; the farm area; the goods and chattel situation and the house type compared to the situation three years earlier; and the off-farm income of the household. 
</p><p>In contrast to the quantitative analysis, the major result of a qualitative analysis was that the SUFORD project had improved the welfare situation of the households and villages. The positive results of the qualitative analysis may be explained by the fact that the SUFORD project was perhaps regarded by the rural communities as much more powerful than it really was. 
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7610-7</guid>
      <dc:creator>Paavola, Marjo</dc:creator>
    </item>
    <item>
      <title>24.2. Saara Hacklin: Divergencies of Perception</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7605-3 </link>
      <description><![CDATA[<p>Maurice Merleau-Ponty (19081961) has been known as the philosopher of painting. His interest in the theory of perception intertwined with the questions concerning the artists perception, the experience of an artwork and the possible interpretations of the artwork. For him, aesthetics was not a sub-field of philosophy, and art was not simply a subject matter for the aesthetic experience, but a form of thinking. 
</p><p>This study proposes an opening for a dialogue between Merleau-Pontian phenomenology and contemporary art. The thesis examines his phenomenology through certain works of contemporary art and presents readings of these artworks through his phenomenology. The thesis both shows the potentiality of a method, but also engages in the critical task of finding the possible limitations of his approach. 
</p><p>The first part lays out the methodological and conceptual points of departure of Merleau-Pontys phenomenological approach to perception as well as the features that determined his discussion on encountering art. Merleau-Ponty referred to the experience of perceiving art using the notion of seeing with (voir selon). He stressed a correlative reciprocity described in Eye and Mind (1961) as the switching of the roles of the visible and the painter. 
</p><p>The choice of artworks is motivated by certain restrictions in the phenomenological readings of visual arts. The examined works include paintings by Tiina Mielonen, a photographic work by Christian Mayer, a film by Douglas Gordon and Philippe Parreno, and an installation by Monika Sosnowska. These works resonate with, and challenge, his phenomenological approach. 
</p><p>The chapters with case studies take up different themes that are central to Merleau-Pontys phenomenology: space, movement, time, and touch. All of the themes are interlinked with the examined artworks. There are also topics that reappear in the thesis, such as the notion of écart and the question of encountering the other.
</p><p>As Merleau-Ponty argued, the sphere of art has a particular capability to address our being in the world. The thesis presents an interpretation that emphasises the notion of écart, which refers to an experience of divergence or dispossession. The sudden dissociation, surprise or rupture that is needed in order for a meeting between the spectator and the artwork, or between two persons, to be possible. Further, the thesis suggests that through artworks it is possible to take into consideration the écart, the divergence, that defines our subjectivity. </p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7605-3 </guid>
      <dc:creator>Hacklin, Saara</dc:creator>
    </item>
    <item>
      <title>24.2. Linda Forsström: Molecular diagnosis of developmental disorders</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7618-3</link>
      <description><![CDATA[<p>ABSTRACT
Idiopathic developmental disorders (DDs) affect ~1% of the population worldwide. This being a considerable amount, efforts are being made to elucidate the disease mechanisms. One or several genetic factors cause 30-40% of DDs, and only 10% are caused by environmental factors. The remaining 50% of DD patients go undiagnosed, mostly due to a lack of diagnostic techniques. The cause in most undiagnosed cases is though to be a genetic factor or a combination of genetic and environmental factors. Despite the surge of new technologies entering the market, their implementation into diagnostic laboratories is hampered by costs, lack of information about the expected diagnostic yield, and the wide range of selection. This study evaluates new microarray methods in diagnosing idiopathic DDs, providing information about their added diagnostic value. 
</p><p>Study I analysed 150 patients by array comparative genomic hybridization (array CGH, 44K and 244K), with a subsequent 18% diagnostic yield. These results are supported by other studies, indicating an enourmous added diagnostic value of array CGH, compared with conventional cytogenetic analysis. Nevertheless, 80% of the patients remained undiagnosed in Study I. In an effort to diagnose more patients, in Study IV the resolution was increased from 8.9 Kb of the 244K CGH array to 0.7 Kb, by using a single-nucleotide polymorphism (SNP) array. However, no additional pathogenic changes were detected in the 35 patients assessed, and thus, for diagnostic purposes, an array platform with ca 9 Kb resolution appears adequate.
</p><p>The recent vast increase in reports of detected aberrations and associated phenotypes has enabled characterization of several new syndromes  first based on a common aberration and thereafter by delineation of common clinical characteristics. In Study II, a familial deletion at 9q22.2q22.32 with variable penetrance was described. Despite several reports of aberrations in the adjacent area at 9q associated with Gorlin syndrome, the patients in this family had a unique phenotype and did not present with the syndrome. In Study III, a familial duplication of chromosome 6p22.2 was described. The duplication caused increased expression of an important enzyme of the &#947;-aminobutyric acid (GABA) degradation pathway, causing oxidative stress of the brain, and thus, very likely, the mild mental retardation of these patients. These two case studies attempted to pinpoint candidate genes and to resolve the pathogenic mechanism causing the clinical characteristics of the patients. Presenting rare genetic and clinical findings to the international science and medical community enables interpretation of similar findings in other patients.
 
The added value of molecular karyotyping in patients with idiopathic DD is evident. As a first line of testing, arrays with a median resolution of at least 9 Kb should be considered and further characterization of detected aberrations undertaken when possible. Diagnostic whole-exome sequencing may be the best option for patients who remain undiagnosed after high-resolution array analysis.
</p><p></p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7618-3</guid>
      <dc:creator>Forsström, Linda</dc:creator>
    </item>
    <item>
      <title>24.2. Anne Nihtinen: Veritautipotilaiden syvät sienitulehdukset</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7565-0</link>
      <description><![CDATA[<p>Invasive fungal infections constitute a potentially lethal complication in patients with acute leukaemia and in allogeneic stem cell transplant (SCT) recipients. The poor prognosis is associated with delays in the diagnosis of these infections. Colonization of the mucous membranes is the first step in the pathogenesis of IFI. With Candida infections the colonization occurs in the gastrointestinal tract. Aspergillus spores enter the body from the air to the lungs. Air filtration reduces the number of spores in the air and the risk of invasive aspergillosis (IA). 
The studies in this thesis had their focus on the prevention and serological diagnostic methods of IA and invasive candidiasis (IC).
The following factors were investigated in 102 adult allogeneic SCT recipients transplanted in 2001-2002: nasal colonization with Aspergillus species, oral colonization with Candida species, the feasibility of two antigen tests (Aspergillus galactomannan and Candida mannan) as diagnostic tools, and the incidence of IA and IC. Simultaneously with the patient sampling, environmental samples were obtained from the HEPA-filtered SCT ward to asses the role of environmental exposure to moulds as a risk factor for IA.
Nasal samples yielded positive results in three patients. Two patients had IA. Of the 2071 serum samples, 12 (0.6%) yielded positive results with the galactomannan antigen test in nine patients (8.8%). One of these patients had IA.
The oral samples yielded positive results in 38 patients but only one patient had IC.  In this patient, the Candida mannan test yielded the first positive result seven weeks before the infection. Single false positive test results were common; they were detected in 54 patients. False results were associated with the use of acyclovir and valacyclovir.
Aspergillus species were detected in only 6.1% of the environmental samples. The air quality also remained good during a period of heavy construction activity in the immediate vicinity of the SCT ward. Such periods can cause outbreaks of IA. 
Fluconazole prophylaxis was assessed in 1089 adult patients with acute leukaemia by comparing the incidence of IC in 847 patients not receiving prophylaxis (years 1978-1999) to 242 patients receiving fluconazole prophylaxis (years 2000-2004). The incidence of IC was 8.7% and 1.6% (P less than 0.001). 
The efficacy of Amphotericin B (AmB) inhalation prophylaxis was analysed in allogeneic SCT recipients. Antifungal prophylaxis was not given to 257 patients transplanted in 1996-2000 (Period I). In the 354 patients transplanted in 2001-2005 (Period II) AmB inhalation prophylaxis was started in cases of acute graft-versus-host disease requiring therapy with high-dose methylprednisolone. IA was detected in 17 (6.6%) vs. 9 (2.5%) of the patients in Period I and Period II (P = 0.007).
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7565-0</guid>
      <dc:creator>Nihtinen, Anne</dc:creator>
    </item>
    <item>
      <title>24.2. Maria Razzauti Sanfeliu: Microevolution of Puumala hantavirus in its host,  the bank vole (Myodes glareolus)</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7688-6</link>
      <description><![CDATA[<p>Puumala hantavirus (PUUV) is a zoonotic virus that in humans causes nephropathia epidemica (NE) in humans, a mild form of haemorrhagic fever with renal syndrome. An average of 10 000 cases are reported annually in Europe, many of which occur in Fennoscandia. The incidence of NE is connected to the distribution and population density of the the bank vole (Myodes glareolus), the main virus host. In Fennoscandia, high incidences of NE occur at 3-4 year intervals due to the characteristic population cycles of this woodland rodent.
This study aimed to gain a better understanding of PUUV microevolution by examining genetic features of the virus in several bank vole populations of Finland and Latvia. 
Genetic variation in PUUV circulating in a bank vole population at Konnevesi in Central Finland was examined and monitored over five-years throughout a complete bank vole cycle, including two peak-phases in 2005 and 2008 and two population declines in 2006 and 2009 (i.e., viral bottlenecks). Altogether, 1369 bank voles were captured and 26.3% were detected PUUV-infected. Partial sequences of the three viral genome segments (Small, Medium and Large) were inspected from 365 PUUV genomes. Genetic diversity was 6.2% for the S segment, 4.8% for the M segment, and a surprisingly high 10.1% for the L segment. Each genome segment had accumulated mutations as a separate gene pool. The majority of nucleotide substitutions were synonymous and most of the deduced amino acid substitutions were conservative, suggesting a strong stabilizing selection operating at the protein level. Genetic markers found along the genome segments allowed for the recognition of two genogroups of PUUV co-circulating in the host population. Even though, one of the genogroups presented higher genetic diversity, no signs of completion were observed between them. Nearly 80% the variants exhibited a transient existence, and frequently occurring variants were integrated by most abundant segment genotypes suggesting a viral mutational robustness. A substantial portion (19.1%) of genomes appeared to be reassorted, with S and M typically being exchanged. Reassorted variants did not outcompete parental variants and were commonly transient. Reassortment was seasonal, occurring more frequently in autumn when recent infection risk increases. An imperceptible intra-genogroup reassortment could contribute to the steady state of the viral population, counteracting the effects of Mullers ratchet.
Co-circulation and interaction of two distinct PUUV lineages (Finnish and North-Scandinavian) was monitored in a bank vole population at Pallasjärvi in Northern Finland. To date, seven genetic lineages have been detected, all of which exhibit geographic structure within the host distribution. Here, we present new evidence of two lineages circulating in the same bank vole phylogroup (Ural clade). Genetic diversity within each PUUV lineage was modest (up to 1.7%) and most substitutions were synonymous. However, genetic differences between the two lineages were as high as 18.9%. Phylogenetic analyses revealed that these distinct lineages naturally reassort with a frequency comparable to that genogroups circulating at Konnevesi, i.e., 32%. In contrast to Konnevesi, only M segment was exchanged between PUUV lineages at Pallasjärvi. 
 Two distinct PUUV lineages were also found to co-circulate in Latvia. One (Russian) has been previously described and the other awaits formal description. The novel Latvian lineage is considerably divergent from other PUUV lineages and several amino acid markers made it easily distinguishable. Phylogenetic analysis suggested an independent evolutionary history for the segments of Latvian lineage. Similar to Pallasjärvi, both Russian and Latvian lineages were found in a single bank vole phylogroup (Carpathian clade), confirming earlier observations that PUUV lineages are not limited to a single host phylogroup. </p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7688-6</guid>
      <dc:creator>Razzauti Sanfeliu, Maria</dc:creator>
    </item>
    <item>
      <title>25.2. Markku Johannes Koivusalo: Kokemuksen politiikka</title>
      <link>http://urn.fi/URN:ISBN:978-952-5169-82-9</link>
      <description><![CDATA[<p>The Politics of Experience. Michel Foucault's System of Thought is a comprehensive enquiry into the structure and the historical conditions of Foucault's thought from the perspective of political reason. According to its thesis Foucault's main question is identical to the classical question of political philosophy: what are the modes of historical reason governing human action. However, the question is raised from the post-Kantian critical perspective and dealt with exploration of the historical conditions of possibilities of experiences.  
</p><p>The study confirms Foucault as a systematic thinker of truth and freedom and claims that his main problem is the relationship between truth and politics as historical experiences. This thesis is supported by close readings of Foucault's ways of questioning in his historical enquiries, together with a comparative reflection on other thinkers from the angle of these specific historical problems. 
</p><p>The methodological stakes of the work are twofold. First to follow Foucault's own approach by folding his way of questioning towards his own historical system of thought and investigating what is its own structure, what are its own historical limits and conditions of possibility. Secondly, on the basis of this reading, the study asks what would be the possibilities for a political philosophy that would neither be moral philosophy nor empirical science of politics, but would continue critically to question the concrete modes of political reason and to explore the relations between truth and politics without reducing one to the other.
</p><p>The monograph includes six previously peer-reviewed articles. The first investigates Foucault's archeological critique of knowledge, the second his strategic analysis of power and third his ethical critique of governmentality. The next two articles examine the modern concept of human in relation to the modern scientific, artistic and political experiences. The last article reflects on the relationship between violence and life. 
</p><p>The articles are preceded by an extensive encyclopedic introduction to the critical political anthropology of Foucault. The introduction gathers together the phrasing of questions in other articles and links Foucault's thought to the three critical questions of Immanuel Kant's philosophy: What can I know? What should I do? What can I hope? It also places Foucault's thought in relation to Kant's view of philosophy as system (Schulbegriff) and a science of the ultimate ends of mankind (Weltbegriffe). The aim of Kant's critical philosophy was to prepare a propedeutic introduction to the possibility for a new metaphysics as transcendental philosophy through the criticism of transcendental illusions. 
</p><p>The thesis of the study is that Foucault's critical philosophy can be read as a propedeutic introduction to the new political philosophy through its criticism of anthropological illusions. 
</p><p>In addition, in the end of the thesis there is an appendix, where the approach of the study is differentiated from other approaches (especially from some hegemonic anglo-saxon receptions of Foucault), they are argued against and the particular approach and methodology of this study are defended. </p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-5169-82-9</guid>
      <dc:creator>Koivusalo, Markku Johannes</dc:creator>
    </item>
    <item>
      <title>2.3. Maarit Mentula: Second trimester medical termination of pregnancy</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7635-0</link>
      <description><![CDATA[<p>Background: Mifepristonemisoprostol combination has become the preferred method for second trimester medical termination of pregnancy (MTOP). The recommended mifepristone-misoprostol interval has been 3648 hours, but a more flexible interval would be of value. Increasing gestational age has been associated with an increased risk of complications of TOP, but little is known about the complications after MTOP. Also data on repeat TOP after second trimester TOP has been missing. 

----
Objectives: To assess the procedure of second trimester MTOP and its complications or health risks in a randomized trial comparing one- and two-day mifepristone-misoprostol intervals and in nationwide cohorts evaluating complications of MTOP and the risk of repeat TOP (re-TOP).

----
Material and methods: The open randomized prospective trial consisted of 227 women who underwent MTOP between gestational weeks 1324. The epidemiological studies performed using the Finnish Abortion Registry and the Hospital Discharge Registry assessed complications after first and second trimester MTOP in 18,248 women who underwent MTOP in Finland in 20032006 and the risk of re-TOP in 41,750 women who underwent their first TOP in Finland in 20002005. 

----
Results: Induction-to-abortion time was similar with one- and two-day mifepristone-misoprostol intervals (8.5 vs. 7.2 hours, p=0.038). However, it was markedly longer with the one-day interval among women without previous deliveries (10.1 vs. 7.6 hours, p=0.013) and when gestational age exceeded 16 weeks (10.8 vs. 7.2 hours, p=0.024). The risk of surgical evacuation was increased with the two-day mifepristone-misoprostol interval (OR 2.2; 95% CI 1.14.1), age above 24 years (OR 2.4; 95% CI 1.15.3), a history of uterine curettage (OR 4.4; 95% CI 1.711.7) and foetal indication for TOP (OR 6.1; 95% CI 1.134.4). In comparison with first trimester MTOP second trimester MTOP increased the risk of surgical evacuation (adjusted OR 7.8; 95% CI 6.88.9) and infection (adj. OR 2.1; 95% CI 1.52.9) and second trimester re-TOP (HR 3.8; 95% CI 2.95.1) and re-TOP after 16 weeks of gestation (HR 5.0; 95% CI 3.37.7). 

----
Conclusions: Both one- and two-day dosing intervals between mifepristone and misoprostol are suitable for second trimester MTOP. Compared with earlier MTOP, second trimester MTOP increases the risk of surgical evacuation or infection and a history of uterine curettage increases this risk. As second trimester TOP is also a risk factor of re-TOP, especially later in pregnancy, special focus on the safety and efficacy of the method is needed. 
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7635-0</guid>
      <dc:creator>Mentula, Maarit</dc:creator>
    </item>
    <item>
      <title>2.3. Hongjie Wang: Basic and translational studies on  species B adenoviruses</title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7339-7</link>
      <description><![CDATA[<p>Human adenoviruses (Ads) have been classified into six species (A to F) currently containing 55 serotypes. For almost 2 decades vectors derived from group C serotype Ad5 have been extensively used for gene transfer studies. These Ad5 based vectors are able to efficiently infect many mammalian cell types (including both mitotic and post-mitotic cells) through interaction with a primary attachment receptor, the coxsackie and adenovirus receptor (CAR).  Despite the many advantages of Ad5 based vectors a number of limitations have affected their therapeutic application to many diseases. Although they can transduce many tissue types, Ad5 based vectors are unable to efficiently transduce several potential disease target cell types, including hematopoietic stem cells and malignant tumor cells. Therefore, newer vectors have been developed based on Ad serotypes other than Ad5. This thesis focuses on species B Ads. Species B Ads are comprised of three groups based on their receptor usage.  Group 1 of species B Ads (Ad16, 21, 35, 50) nearly exclusively utilize CD46 as a receptor; Group 2 (Ad3, Ad7, 14) share a common, unidentified receptor/s, which is not CD46 and which was tentatively named receptor X; Group 3 (Ad11) preferentially interacts with CD46, but also utilizes receptor X if CD46 is blocked.  
</p><p>Species B group Ads are important human pathogens. Species B group 2 serotypes are isolated from patients with respiratory tract infections, whereas the Group 1 viruses are described as causing kidney and urinary tract infections. B-group Ad infections often occur in immunocompromised patients, including AIDS patients, recipients of bone marrow transplants, or chemotherapy patients. Recent studies performed in U.S. military training facilities indicate an emergence of diverse species B serotypes at the majority of sites. This included the group 1 serotype 21 and the group 2 serotypes 3, 7, and 14. 
</p><p>CD46-targeting vectors derived from Ad35 and Ad11 are important tools for in vitro gene transfer into human stem cells, including hematopoietic stem cells and induced pluripotent stem cells.  Ad35 and Ad11 have been used as tools for cancer therapy, because CD46 appears to be uniformely overexpressed on many cancers. Furthermore, receptor X-targeting vectors, i.e vectors derived from Ad3 or vectors containing Ad3 fibers have shown superior in the transduction of tumor cells both in vitro and in vivo and are currently being used clinically in cancer patients. 
</p><p>While extensive basic virology studies have been done on Ad5, the information of species B group 1 interaction with CD46 is limited. Furthermore, the receptor for a major subgroup of species B Ads (receptor X) is unknown. The goal of this thesis was it therefore to better understand virological and translational aspects of species B Ads. The specific findings described in this thesis include i) the identification of CD46 binding sites within the Ad35 fiber knob, ii) the study of the in vitro and in vivo properties of Ad vectors with increased affinity to CD46. iii) the study of the receptor usage of a newly emergent Ad14a,  iv) the identification of desmoglein 2 as the receptor for Ad3, Ad7, Ad11, and Ad14, v) the delineation of structural details of Ad3 virus interaction with DSG2, and vi) the analysis of functional consequences of Ad3-DSG2 interaction. As a result of these basic virology studies two Ad-derived recombinant proteins have been generated that can be used to enhance cancer therapy by monoclonal antibodies. 
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7339-7</guid>
      <dc:creator>Wang, Hongjie</dc:creator>
    </item>
    <item>
      <title>8.3. Hanna Viisanen-Kuopila: Descending modulation of pain by motor cortex stimulation in the rat </title>
      <link>http://urn.fi/URN:ISBN:978-952-10-7699-2</link>
      <description><![CDATA[<p>Direct injury to nerves in the peripheral or central nervous system produces peripheral or central neuropathic pain. Approximately 78 % of the population in Europe suffer from neuropathic pain. The treatment of chronic neuropathic pain is challenging and the response to most treatments is generally modest. In 1991 Tsubokawa introduced motor cortex stimulation as an alternative treatment for pain, and it has been used as a treatment for chronic pain in patients who are resistant to other treatments such as drugs.
</p><p>The mechanisms of motor cortex stimulation in pain relief are still poorly understood although several hypotheses have been proposed. Human studies indicate that the brain systems involved in the emotional appraisal of pain and in the descending pain modulation may have a role in the motor cortex stimulation-induced pain suppression.
</p><p>Painful signals are modulated in the spinal cord before they reach the supraspinal nervous systems. Supraspinal descending modulation systems, such as the noradrenergic locus coeruleus, serotonergic rostroventromedial medulla (RVM) and opioidergic periaqueductal gray matter filter and modulate nociceptive transmission in the spinal cord. Previous studies indicate that the opioidergic system relays primary motor cortex (M1) stimulation-induced antinociception in neuropathy.
</p><p>The aim of the thesis was to characterize the M1 stimulation-induced antinociceptive effects, and to find out whether the descending antinociception is relayed through the noradrenergic, serotonergic or dopaminergic pathways in an animal model of chronic neuropathic pain.
</p><p>The results indicate that the stimulation of M1 attenuates pain-related responses in neuropathic animals through activation of several descending pain inhibitory systems. The RVM and the descending serotonergic pathway acting on the spinal 5-HT1A receptor both contribute to the spinal antinociception induced by M1 stimulation in neuropathic animals. Moreover, supraspinal, presumably striatal and spinal dopamine D2 receptors, are involved in mediating descending antinociceptive actions from M1 to the spinal cord. The dopaminergic A11 cell group is among the relay centers mediating the descending antinociceptive effect as well. A better understanding of the mechanisms involved in the M1 stimulation-induced antinociception could improve the clinical treatment of persistent pain.
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-10-7699-2</guid>
      <dc:creator>Viisanen-Kuopila, Hanna</dc:creator>
    </item>
    <item>
      <title>16.3. al-Hello Haider : Pathogenic and Molecular Characteristics of Two Isolates of HEV-B Species</title>
      <link>http://urn.fi/URN:ISBN:978-952-245-584-0</link>
      <description><![CDATA[<p>Enteroviruses (EVs) are small non-enveloped RNA viruses forming a large group of different serotypes. EVs belong to the family Picornaviridae. The primary replication site of an enterovirus is typically the epithelium of the respiratory tract and the gastrointestinal mucosa. Virus replication in the gastrointestinal mucosa may continue, often asymptomatically, for several weeks occasionally causing viremia. During the viremia the virus spreads through the lymphatic system and circulation. Organ-specific symptoms rise after viral replication in the secondary target tissues. Occasionally, cellular adaptation is required for a virus to initiate replication in the secondary target tissue(s). Adaptation is linked to mutation(s) which may lead to alteration in cellular tropism, e.g., recognition of new surface receptor molecules or other host cell constituents essential for virus entry and replication. However, the critical step may also occur later during in the interaction of the host cell and the replicating virus.  
In the present study, genetic changes responsible for altered phenotypic features were sought using two strains of Human enterovirus B (HEV-B) species. Firstly, a laboratory isolate of coxsackievirus B5 (CV-B5), strain DS, was passaged 15 times in mouse pancreas in vivo, which resulted in a diabetogenic mouse pancreas passaged virus strain (MPP). The concept of diabetogenic means the ability of the MPP strain to replicate, cause insulitis and dysregulation of the glucose metabolism in the mouse pancreas in vivo. The interaction between the MPP virus strain and insulin producing &#946;-cells was further studied in cell culture using a mouse-derived insulinoma cell line, MIN-6 cells, as an experimental model. The replication of the MPP virus strain was clearly slower in the MIN-6 cells compared to the other tested cell lines. After three days of incubation, extensive replication of MPP was evident in MIN-6 cells and resulted in a MIN-6 cell-adapted virus strain (MCA). Secondly, the ability of the D207 virus strain, isolated from a type 1 diabetic patient, to replicate in a primary human &#946;-cell culture was tested. D207 was initially serotyped as coxsackievirus A9 (CV-A9) in a virus-specific neutralization assay. The D207 virus strain was found to cause cytolysis in the primary human &#946;-cells and, simultaneously, severe functional damage of the surviving &#946;-cells.
The genomes of the four virus strains DS, MPP, MCA and D207 were cloned and sequenced. The sequence comparison of three CV-B5 strains (DS, MPP, and MCA) revealed only limited changes, three capsid and two non-structural (NS) amino acid substitutions between MPP and DS, and two capsid and six NS amino acid substitutions between MCA and MPP. In order to determine which of the amino acid substitutions were responsible for the changed phenotype in vivo and in vitro, full-length infectious clones were constructed from the MPP virus and its parental DS virus. By using reverse mutagenesis and chimeric viruses (MPP/DS and DS/MPP), it was shown that a change from MPP to the MCA phenotype in MIN-6 cells was mediated by only a single amino acid at position 94 in VP1, while the in vivo adaptation of the DS virus strain to the inflammation-inducing MPP virus strain may require multiple genetic determinants in the virus capsid and probably also in the NS proteins. 
Sequence analyses of D207 revealed that the virus belonged to a genogroup D of E-11, but was also neutralized with monotypic antisera to CV-A9. The isolate D207 was found to be closely related to a specific E-11 strains known to cause uveitis. Uveitis-causing E-11 strains were also found to be well neutralized with both CV-A9- and E-11-specific antisera.  In a further study, a wide range of E-11 isolates were included to test the observed dual neutralizibility among isolates belonging to the D genogroup. Five of the six studied strains belonging to genogroup D were also neutralized with antisera against coxsackievirus A9 Griggs. The peptide scanning technique was utilized to identify antigenic regions of the capsid proteins of the D207 strain responsible for the observed dual neutralization. Several regions in the capsid of D207 were found to cross-react with an antiserum raised against CV-A9. However, epitopes responsible for the cross-neutralization remained unidentified.
In conclusion, these studies indicate that the specific location of mutation may affect the phenotype of an enterovirus more than the overall quantity of changes. In the experimental settings, radical changes in the viral phenotypic features occurred only after a few amino acid substitutions. The majority of the studied viruses in the genogroup D of E-11 maintained exceptional phenotypic property, the cross-neutralization with CV-A9 specific antiserum, despite their genetic divergence. 
</p>]]></description>
      <guid isPermaLink="true">http://urn.fi/URN:ISBN:978-952-245-584-0</guid>
      <dc:creator>Haider , al-Hello</dc:creator>
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