Sanna Heikkinen

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IT companies worldwide have started to improve their service management processes based on best practice frameworks, such as IT Infrastructure Library (ITIL). However, many of these companies face difficulties in demonstrating the positive outcomes of IT service management (ITSM) process improvement. This has led us to investigate the research problem: What(More)
Continual service improvement within IT service management is an important research topic. Nowadays, IT services should be actively developed and improved in order to increase quality and cost effectiveness. Continual Service Improvement enables identification of bottlenecks and weak areas in the services. The research problem of this study is: what types(More)
BACKGROUND In Finland, organized nationwide breast cancer (BC) screening is biennially offered for women aged 50-69 years. The aim was to estimate, for the first time in Finland, the proportion of women having opportunistic mammography at age less than 50 years and to investigate the role of BC family history and educational level for having opportunistic(More)
BACKGROUND The Finnish Cancer Registry (FCR) has collected population-based data on cancer incidence for scientific research and statistical purposes since 1953. Our aim was to provide a comprehensive quality assessment of the current cancer registry data in Finland. METHODS We used established quantitative and semi-quantitative techniques to address four(More)
AIMS/HYPOTHESIS Hygiene hypothesis has been shown valid in respect of allergies and asthma but has not been, however, sufficiently studied in relation to type 1 diabetes mellitus. This study investigates the effect of childhood farm environment on the prevalence of type 1 diabetes mellitus in Finnish children and young adults. METHODS Data come from a(More)
INTRODUCTION Role of hair dyes in the etiology of breast cancer has occasionally raised concern but previous research has concluded with mixed results. Remnants of prohibited aromatic amines have been found in many hair dye products, and elevated levels of DNA-adducts of these amines have been detected from breast epithelial cells of hair dye users.(More)